Organization Active NPI

Manchester Dentistry and Braces Inc

  • General Practice Dentistry
  • Manchester, NH
National Provider Identifier
1164046645
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MANCHESTER DENTISTRY AND BRACES INC
Practice address
460 Elm St
Manchester, NH 03101-2701
Phone
(603) 760-6000
NPI assigned
Jun 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Authorized official

Name
Todd Pachello
Title
Chief Revenue Officer
Phone
(720) 475-6482

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X

Addresses

Primary practice location

460 Elm St
Manchester, NH 03101-2701

Mailing address

5 Mount Royal Ave Ste 300
Marlborough, MA 01752-1900
Phone (508) 872-3072

Other practice location 1

50 S Main St
Manchester, NH 03102-4419
Phone (603) 760-6000

National Provider Directory

National Provider Directory

Locations

460 Elm St
Manchester, NH 03101
Phone (508) 827-8887

NPI Registry JSON

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1164046645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MOUNT ROYAL AVE STE 300",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521900",
            "telephone_number": "508-872-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 ELM ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031012701",
            "telephone_number": "603-760-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 S Main St",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031024419",
            "country_code": "US",
            "telephone_number": "603-760-6000",
            "fax_number": "603-760-6001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MANCHESTER DENTISTRY AND BRACES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-01",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "PACHELLO",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "CHIEF REVENUE OFFICER",
        "authorized_official_telephone_number": "720-475-6482"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Mar 10, 2026; 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.