Active NPI
Jennie P Carcaud-Hennigar, DMD
- Public Health Dentistry
- Tamworth, NH
National Provider Identifier
1093959595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- 03311
- Practice address
- 448 White Mountain Hwy
Dental Center
Tamworth, NH 03886-4626 - Phone
- (603) 323-7645
- Fax
- (603) 323-7647
- NPI assigned
- Apr 28, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | 03311 | NH | Primary |
Addresses
Primary practice location
448 White Mountain Hwy
Dental Center
Tamworth, NH 03886-4626
Mailing address
448 White Mountain Hwy
Dental Center
Tamworth, NH 03886-4626
Phone (603) 323-7645
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03311 | NH | MD | Public Health Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240876800000",
"number": "1093959595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "448 WHITE MOUNTAIN HWY",
"address_2": "DENTAL CENTER",
"city": "TAMWORTH",
"state": "NH",
"postal_code": "038864626",
"telephone_number": "603-323-7645",
"fax_number": "603-323-7647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "448 WHITE MOUNTAIN HWY",
"address_2": "DENTAL CENTER",
"city": "TAMWORTH",
"state": "NH",
"postal_code": "038864626",
"telephone_number": "603-323-7645",
"fax_number": "603-323-7647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARCAUD-HENNIGAR",
"first_name": "JENNIE",
"middle_name": "P",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-28",
"last_updated": "2009-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "NH",
"license": "03311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tamworth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.