NPIMap

Organization Active NPI

Amoskeag Family Dentistry, LLP

  • Dental Clinic/Center
  • Manchester, NH
National Provider Identifier
1104205707
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
03648 Issued in NH
Legal business name
AMOSKEAG FAMILY DENTISTRY, LLP
Practice address
316 S Main St
Manchester, NH 03102-4842
Phone
(603) 627-1301
NPI assigned
May 28, 2015
Last updated
May 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2015

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

Authorized official

Name
Dr. Jason SudatiNPI 1407886310
Title
General Partner
Phone
(603) 627-1301

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 03648 NH Primary

Addresses

Primary practice location

316 S Main St
Manchester, NH 03102-4842

Mailing address

316 S Main St
Manchester, NH 03102-4842
Phone (603) 627-1301

National Provider Directory

National Provider Directory

Locations

316 S Main St
Manchester, NH 03102
Phone (603) 627-1301

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1104205707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 S MAIN ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031024842",
            "telephone_number": "603-627-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 S MAIN ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031024842",
            "telephone_number": "603-627-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMOSKEAG FAMILY DENTISTRY, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-28",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "SUDATI",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "603-627-1301",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NH",
            "license": "03648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.