Richard Niederman, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

05001 Issued in NH

Practice address

2 Delta Dr
#302
Concord, NH 03301

Phone

(917) 280-5920

Fax

(617) 262-4021

NPI assigned

May 8, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Cariedaway LLC

  • Public Health Dentistry
  • Concord, NH
  • NPI 1073383188
  NPD Authorized official
• Forsyth Dental Infirmary for Children

  • Dentist
  • Boston, MA
  • NPI 1497977177
  NPD (past) Authorized official
• The Forsyth Institute

  • Dentist
  • Boston, MA
  • NPI 1568609071
  NPD (past)

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1003029679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DELTA DR",
            "address_2": "#302",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "03301",
            "telephone_number": "917-280-5920",
            "fax_number": "617-262-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DELTA DR",
            "address_2": "#302",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "03301",
            "telephone_number": "917-280-5920",
            "fax_number": "617-262-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEDERMAN",
        "first_name": "RICHARD",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "13692",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NH",
            "license": "05001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3143662",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith R Nichols, M.D.
• Patti Nichols, MSW, LICSW
• Debra Nickerson, PHARMD
• Katrina Nickerson
• Julie Nicknair-Keon, LCMHC NCC
• Carol Niegisch, MD
• Katherine E Niegisch, M.D.
• Kathleen Anne Nielsen, APRN BC
• Nathaniel Thomas Nieva, PA-C
• Stephanie Nigrelli, BA

• Periodontics in Concord, NH
• Providers in Concord, NH by specialty
• Periodontics in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.