Individual provider Active NPI

David S Ieni, D.D.S.

  • General Practice Dentistry
  • Laconia, NH
National Provider Identifier
1164470431
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
03586 Issued in NH
Practice address
483 Union Ave
Laconia, NH 03246-2817
Phone
(603) 528-4444
NPI assigned
May 5, 2006
Last updated
Feb 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 03586 NH Primary

Addresses

Primary practice location

483 Union Ave
Laconia, NH 03246-2817

Mailing address

483 Union Ave
Laconia, NH 03246-2817
Phone (603) 528-4444

Other practice location 1

157 Towne Ave
Plainfield, VT 05667-9425
Phone (802) 454-8336

Other identifiers 1

IdentifierTypeStateIssuer
03586OtherNHDENTAL LICENSE

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
03586NHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Laconia Family Dental PLLC CurrentSince Feb 23, 2020 Accepting new patients

Locations

483 Union Ave
Laconia, NH 03246
Phone (603) 528-4444

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1164470431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 UNION AVE",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032462817",
            "telephone_number": "603-528-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 UNION AVE",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032462817",
            "telephone_number": "603-528-4444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "157 Towne Ave",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "VT",
            "postal_code": "056679425",
            "country_code": "US",
            "telephone_number": "802-454-8336",
            "fax_number": "802-454-8339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IENI",
        "first_name": "DAVID",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "03586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "03586",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laconia, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; 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.