NPIMap

Organization Active NPI

Hanover Street Family Dental

  • General Practice Dentistry
  • Manchester, NH
National Provider Identifier
1164655114
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
03723 Issued in NH
Legal business name
HANOVER STREET FAMILY DENTAL
Practice address
861 Hanover St
Manchester, NH 03104-5419
Phone
(978) 372-1999
NPI assigned
Aug 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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

Authorized official

Name
Dr. Julia Faigel, DMD
Title
Owner
Phone
(978) 372-1999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 03723 NH Primary

Addresses

Primary practice location

861 Hanover St
Manchester, NH 03104-5419

Mailing address

861 Hanover St
Manchester, NH 03104-5419
Phone (978) 372-1999

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1164655114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 HANOVER ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031045419",
            "telephone_number": "978-372-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 HANOVER ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031045419",
            "telephone_number": "978-372-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANOVER STREET FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2009-08-25",
        "status": "A",
        "authorized_official_last_name": "FAIGEL",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-372-1999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "03723",
            "primary": true
        }
    ],
    "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 Aug 25, 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.

Verify at the official NPI Registry.