RIVERSIDE WELLNESS CENTER, PLLC
NPI 1629219241
Chiropractor in Gorham, NH

Active since March 11, 2009
630 MAIN ST, GORHAM, NH 03581(603) 752-7727(603) 752-2820 Get Directions Write a Review

NPPES record last updated: March 11, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Riverside Wellness Center, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIVERSIDE WELLNESS CENTER, PLLC (NPI 1629219241) is a healthcare organization registered as a chiropractor in Gorham, New Hampshire and active in the NPI registry since March 2009. The organization lists Sue Ann Sidell, Manager, as its authorized official.

NPPES Registry Identity

NPI1629219241
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameRIVERSIDE WELLNESS CENTER, PLLC
Location Address630 MAIN STGorham, NH 03581-4900
Mailing Address630 Main StGorham, NH 03581-4900 · (603) 752-7727 · Fax (603) 752-2820
Fax(603) 752-2820
Organization SubpartNo
Authorized OfficialSue Ann SidellManager · (603) 752-7727
Enumeration DateMarch 11, 2009
NPI 1629219241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in NH · 282-0397
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
630 MAIN ST, Gorham, NH 03581

Other Identifiers 3

Medicare UPINU71701
Medicare UPINU65302NH
Medicaid30257098NH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
630 MAIN ST
GORHAM, NH 03581
Chiropractor
630 MAIN ST
GORHAM, NH 03581
Chiropractor
630 MAIN ST
GORHAM, NH 03581

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Riverside Wellness Center, PLLC's NPI number?

The NPI number for Riverside Wellness Center, PLLC is 1629219241. It was assigned to this organization in the NPPES registry on March 11, 2009.

Where is Riverside Wellness Center, PLLC located?

Riverside Wellness Center, PLLC is located at 630 Main St, Gorham, NH 03581. The listed phone number is (603) 752-7727.

What is Riverside Wellness Center, PLLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Riverside Wellness Center, PLLC was last updated on March 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.