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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SAMUEL GLENN HANNA DC
NPI 1720887516
Chiropractor in Gorham, NH

Active since March 12, 2025Accepts Medicare Assignment
630 MAIN ST, GORHAM, NH 03581(603) 752-7727(844) 951-2494 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 26, 2026, Mar 13, 2025 (2 updates tracked since 2025).

About Samuel Glenn Hanna Dc NPPES

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

SAMUEL GLENN HANNA DC (NPI 1720887516) is an individual chiropractor in Gorham, New Hampshire, licensed in Maine (CR3097) and active in the NPI registry since March 2025. He is a graduate of Palmer College Chiropractic - Davenport (2025).

NPPES Registry Identity

NPI1720887516
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameSAMUEL GLENN HANNACredential: DC
Location Address630 MAIN STGorham, NH 03581-4900
Mailing Address630 Main StGorham, NH 03581-4900 · (603) 752-7727 · Fax (844) 951-2494
Phone(603) 752-7727
Fax(844) 951-2494
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2025
Enumeration DateMarch 12, 2025
Last NPPES UpdateAugust 26, 20262 updates tracked since enumeration
NPPES CertifiedAugust 26, 2026
✔ NPI 1720887516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in ME · CR3097
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
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samuel Glenn Hanna Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688188691
PECOS Enrollment IDI20250710000817

Medicare Billing Reassignments

2

Medicare enrollment records show Samuel Hanna reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Riverside Wellness PLLC
Same address
Chiropractor
630 MAIN ST
Gorham, NH 03581
  • Reassigned Medicare billing, New Hampshire enrollment
NPI 1386561769 (603) 752-7727
Scarborough Family Chiropractic, P.C.
72 mi
Chiropractor
20 BLACK POINT RD
Scarborough, ME 04074
  • Reassigned Medicare billing, Maine enrollment
  • Medicare enrollment name: Scarborough Family Chiropractic Inc.
  • 8 clinicians in this Medicare group
NPI 1083936538 (207) 885-9415

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

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

RIVERSIDE WELLNESS PLLC
Chiropractor
630 MAIN ST
GORHAM, NH 03581
Coos County (603) 752-7727
DR. CHARLES M SIDELL D.C.
Chiropractor
630 MAIN ST
GORHAM, NH 03581
Coos County (603) 752-7727
RIVERSIDE WELLNESS CENTER, PLLC
Chiropractor
630 MAIN ST
GORHAM, NH 03581
Coos County (603) 752-7727
SUE ANN SIDELL DC
Chiropractor
630 MAIN ST
GORHAM, NH 03581
Coos County (603) 752-7727

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 Samuel Hanna's NPI number?

The NPI number for Samuel Hanna is 1720887516. It was assigned to this individual provider in the NPPES registry on March 12, 2025.

Where is Samuel Hanna located?

Samuel Hanna practices at 630 Main St, Gorham, NH 03581. The listed phone number is (603) 752-7727.

What is Samuel Hanna's specialty?

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

Is Samuel Hanna enrolled in Medicare?

Yes. Samuel Hanna is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Samuel Hanna's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Hanna reassigns Medicare benefits to 2 organizations: Riverside Wellness PLLC (Gorham, NH) and Scarborough Family Chiropractic, P.C. (Scarborough, ME). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samuel Hanna's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samuel Hanna was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days 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.