Roland D Montminy, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1275 Issued in NH

Practice address

73 Main St
Berlin, NH 03570-2416

Phone

(603) 752-2424

NPI assigned

Jan 2, 2007

Sex

Male

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coos County Family Health Services

  • General Practice Dentistry
  • Berlin, NH
  • NPI 1003019837

  General Practice

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124185046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 MAIN ST",
            "city": "BERLIN",
            "state": "NH",
            "postal_code": "035702416",
            "telephone_number": "603-752-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 MAIN ST",
            "city": "BERLIN",
            "state": "NH",
            "postal_code": "035702416",
            "telephone_number": "603-752-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTMINY",
        "first_name": "ROLAND",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "1275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30301511",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen D Melanson, WAIVER
• Thomas Meredith, MD
• Tammy Lynn Messineo, BS
• Amy Michaud
• Sally Micucci, P.T.
• Elisabeth Moore, MD
• Mallory Michele Morin, BA
• Howard Mudd, CRNA
• Jesstina April Murphy, RN
• Kristy May Nadeau, BS

• All providers in Berlin, NH
• General Practice Dentistry in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.