Organization Active NPI

Bedford Podiatry Group PC

  • Foot & Ankle Surgery Podiatrist
  • Bedford, NH
National Provider Identifier
1053502286
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
000022738 Issued in NH
Legal business name
BEDFORD PODIATRY GROUP PC
Practice address
21 Eastman Ave
Bedford, NH 03110-6701
Phone
(603) 625-5772
Fax
(603) 625-9889
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Authorized official

Name
Howard J Dananberg, DPM
Title
President
Phone
(603) 625-5772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 000022738 NH Primary

Addresses

Primary practice location

21 Eastman Ave
Bedford, NH 03110-6701

Mailing address

21 Eastman Ave
Bedford, NH 03110-6701
Phone (603) 625-5772

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1053502286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 EASTMAN AVE",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106701",
            "telephone_number": "603-625-5772",
            "fax_number": "603-625-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 EASTMAN AVE",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106701",
            "telephone_number": "603-625-5772",
            "fax_number": "603-625-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDFORD PODIATRY GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "DANANBERG",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-625-5772",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NH",
            "license": "000022738",
            "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 Feb 12, 2008; 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.