Individual provider Active NPI

Erika Richardson Antonsson, D.M.D

  • General Practice Dentistry
  • Bedford, NH
National Provider Identifier
1033518550
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
NH04367 Issued in NH
Practice address
170 South River Rd.
Building II Suite 4
Bedford, NH 03110
Phone
(603) 424-6131
NPI assigned
Aug 20, 2014
Last updated
Nov 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1856707 MA
General Practice Dentistry 1223G0001X 04367 NH
General Practice Dentistry 1223G0001X NH04367 NH Primary

Addresses

Primary practice location

170 South River Rd.
Building II Suite 4
Bedford, NH 03110

Mailing address

170 South River Rd.
Building II Suite 4
Bedford, NH 03110
Phone (603) 424-6131

Other practice location 1

7 Essex Green Dr
Suite 54
Peabody, MA 01960-2961
Phone (978) 535-8244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN1856707MAMDDentist
NH04367NHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Merrimack Dental PLLC General Practice CurrentSince Dec 1, 2024 Accepting new patients
Northside Dental Care General Practice Past Accepting new patients

Locations

170 S River Rd
Bldg Ii
Bedford, NH 03110
Phone (603) 424-6131

382 Daniel Webster Hwy
Merrimack, NH 03054
Phone (603) 423-0400

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1033518550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 SOUTH RIVER RD.",
            "address_2": "BUILDING II SUITE 4",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "03110",
            "telephone_number": "603-424-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 SOUTH RIVER RD.",
            "address_2": "BUILDING II SUITE 4",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "03110",
            "telephone_number": "603-424-6131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Essex Green Dr",
            "address_2": "Suite 54",
            "address_purpose": "LOCATION",
            "city": "Peabody",
            "state": "MA",
            "postal_code": "019602961",
            "country_code": "US",
            "telephone_number": "978-535-8244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTONSSON",
        "first_name": "ERIKA",
        "middle_name": "RICHARDSON",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-20",
        "last_updated": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1856707",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "04367",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "NH04367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.