Organization Active NPI

David Ieni DDS, PLLC

  • Dentist
  • North Conway, NH
National Provider Identifier
1104017128
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
03586 Issued in NH
Legal business name
DAVID IENI DDS, PLLC
Practice address
2759 White Mountain Hwy
North Conway, NH 03860-5123
Phone
(603) 356-6505
Fax
(603) 356-2758
NPI assigned
Aug 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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

Authorized official

Name
Dr. David Stephen Ieni, D.D.S.
Title
Owner
Phone
(603) 356-6505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 03586 NH Primary

Addresses

Primary practice location

2759 White Mountain Hwy
North Conway, NH 03860-5123

Mailing address

2759 White Mountain Hwy
P.O. Box 448
North Conway, NH 03860-5123
Phone (603) 356-6505

National Provider Directory

National Provider Directory

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": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1104017128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2759 WHITE MOUNTAIN HWY",
            "address_2": "P.O. BOX 448",
            "city": "NORTH CONWAY",
            "state": "NH",
            "postal_code": "038605123",
            "telephone_number": "603-356-6505",
            "fax_number": "603-356-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2759 WHITE MOUNTAIN HWY",
            "city": "NORTH CONWAY",
            "state": "NH",
            "postal_code": "038605123",
            "telephone_number": "603-356-6505",
            "fax_number": "603-356-2758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID IENI DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "IENI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-356-6505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NH",
            "license": "03586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Conway, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.