NPIMap

Organization Active NPI

Northeast Family Dental Center PC

  • Dentist
  • Nashua, NH
National Provider Identifier
1063682334
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2605 Issued in NH
Legal business name
NORTHEAST FAMILY DENTAL CENTER PC
Doing business as
NE Dental Visions
Practice address
193 Kinsley St
Nashua, NH 03060-3658
Phone
(603) 882-6055
NPI assigned
Mar 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Authorized official

Name
Dr. Kevin D BoulardNPI 1174613251
Title
President
Phone
(603) 882-6055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2605 NH Primary

Addresses

Primary practice location

193 Kinsley St
Nashua, NH 03060-3658

Mailing address

193 Kinsley St
Nashua, NH 03060-3658
Phone (603) 882-6055

Other names 1

  • NE Dental Visions Doing business as

National Provider Directory

National Provider Directory

Locations

193 Kinsley St
Nashua, NH 03060
Phone (603) 882-6055

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1063682334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 KINSLEY ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603658",
            "telephone_number": "603-882-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 KINSLEY ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603658",
            "telephone_number": "603-882-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST FAMILY DENTAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "BOULARD",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-882-6055",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NH",
            "license": "2605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NE Dental Visions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashua, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.