Active NPI
Mary R Deal, M.D.
- Family Medicine Physician
- Concord, NH
National Provider Identifier
1154555746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 14339
- Practice address
- 22 White St
Concord, NH 03301-4176 - Phone
- (603) 225-0201
- NPI assigned
- May 11, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 143684 | NY | |
| Family Medicine Physician | 207Q00000X | 14339 | NH | Primary |
Addresses
Primary practice location
22 White St
Concord, NH 03301-4176
Mailing address
22 White St
Concord, NH 03301-4176
Phone (603) 225-0201
Other names 1
- Mary Riddell Deal
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14339 | NH | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242000000000",
"number": "1154555746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 WHITE ST",
"city": "CONCORD",
"state": "NH",
"postal_code": "033014176",
"telephone_number": "603-225-0201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 WHITE ST",
"city": "CONCORD",
"state": "NH",
"postal_code": "033014176",
"telephone_number": "603-225-0201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAL",
"first_name": "MARY",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-11",
"last_updated": "2009-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "143684",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NH",
"license": "14339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "DEAL",
"middle_name": "RIDDELL",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.