Jonathan Charles Palazzo, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3381 Issued in NH

Practice address

296 Wellington Hill Rd
Manchester, NH 03104-6401

Phone

(603) 361-8386

NPI assigned

Feb 22, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Jonathan C Palazzo DMD PLLC

  • General Practice Dentistry
  • Manchester, NH
  • NPI 1265679146
  NPD (past) Authorized official
• Norman H Proulx D.D.S.

  • General Practice Dentistry
  • Manchester, NH
  • NPI 1316169360
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154456184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 SOMERVILLE ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031032847",
            "telephone_number": "603-624-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 WELLINGTON HILL RD",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031046401",
            "telephone_number": "603-361-8386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALAZZO",
        "first_name": "JONATHAN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "3381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Victoria Page, BCBA
• Lauren Page, OT
• Travis Charles Paige, RPH
• Crystal Marie Painter, LICSW, MLADC
• Naomi Paisley-Flango
• Elizabeth Amy Palazzolo, LMFT
• Alison A Palmer, A.P.R.N.
• Danielle K Palmer, PSY. D.
• Elizabeth Ann Palmer, MS
• Veronica Pamphile

• General Practice Dentistry in Manchester, NH
• Providers in Manchester, NH by specialty
• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.