Active NPI
David S Ieni, D.D.S.
- General Practice Dentistry
- Laconia, NH
National Provider Identifier
1164470431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 03586
- Practice address
- 483 Union Ave
Laconia, NH 03246-2817 - Phone
- (603) 528-4444
- NPI assigned
- May 5, 2006
- Last updated
- Feb 17, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03586 | Other | NH | DENTAL 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
| License | State | Type | Specialty |
|---|---|---|---|
| 03586 | NH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laconia Family Dental PLLC | Current | 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.
-
- Dental Clinic/Center
- Laconia, NH
- NPI 1598303398
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.