Individual provider Active NPI

Caryn A Danielson, DO

  • Pediatrics Physician
  • Hooksett, NH
National Provider Identifier
1982772828
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
14444 Issued in NH
Practice address
20 Chambers Dr
Suite 2200
Hooksett, NH 03106-1981
Phone
(603) 641-5386
Fax
(603) 641-5387
NPI assigned
Nov 30, 2006
Last updated
Oct 22, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2049 ME
Internal Medicine Physician 207R00000X 14444 NH
Pediatrics Physician 208000000X 2049 ME
Pediatrics Physician 208000000X 14444 NH Primary

Addresses

Primary practice location

20 Chambers Dr
Suite 2200
Hooksett, NH 03106-1981

Mailing address

20 Chambers Dr
Suite 2200
Hooksett, NH 03106-1981
Phone (603) 641-5386

Other identifiers 2

IdentifierTypeStateIssuer
RE5600OtherNHMEDICARE GROUP
30226690MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090914000268 NH Practitioner - Internal MedicinePractitioner - Pediatric Medicine 5395811699 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of New England, College of Osteo Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elliot Physicians NetworkGroup PAC ID 6406743988, 78 clinicians

Practice addresses (Care Compare)

20 Chambers Dr
Hooksett, NH 03106-1981

275 Mammoth Rd
Manchester, NH 03109-4133

40 Butrrick Rd
Londonderry, NH 03053-3381
Phone (603) 434-1919

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
14444NHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elliot Professional Services Internal Medicine CurrentSince Feb 1, 2010 Accepting new patients
Elliot Physicians Network Internal Medicine CurrentSince Jul 20, 2009 Accepting new patients
Elliot Physician Network Internal Medicine Past Accepting new patients
Elliot Physicians Network Past Accepting new patients

Locations

25 S River Rd
Bedford, NH 03110
Phone (603) 626-4392

20 Chambers Dr
Ste 105
Hooksett, NH 03106

20 Chambers Dr
Ste 2200
Hooksett, NH 03106
Phone (603) 641-5386

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

275 Mammoth Rd
Ste 1
Manchester, NH 03109
Phone (603) 663-3222

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445472000000",
    "number": "1982772828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CHAMBERS DR",
            "address_2": "SUITE 2200",
            "city": "HOOKSETT",
            "state": "NH",
            "postal_code": "031061981",
            "telephone_number": "603-641-5386",
            "fax_number": "603-641-5387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CHAMBERS DR",
            "address_2": "SUITE 2200",
            "city": "HOOKSETT",
            "state": "NH",
            "postal_code": "031061981",
            "telephone_number": "603-641-5386",
            "fax_number": "603-641-5387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELSON",
        "first_name": "CARYN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2015-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "2049",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "14444",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ME",
            "license": "2049",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NH",
            "license": "14444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "RE5600",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30226690",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hooksett, NH

Sources for this page

Verify at the official NPI Registry.