John J Maloney Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1862 Issued in NH

Practice address

4 Lake Shore Dr
Seabrook, NH 03874-4028

Phone

(603) 474-9506

Fax

(603) 474-7138

NPI assigned

Jun 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• John J. Maloney, Jr. D.D.S.

  • General Practice Dentistry
  • Seabrook, NH
  • NPI 1871709675

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1174567358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LAKE SHORE DR",
            "address_2": "P. O. BOX 1270",
            "city": "SEABROOK",
            "state": "NH",
            "postal_code": "038744028",
            "telephone_number": "603-474-9506",
            "fax_number": "603-474-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 LAKE SHORE DR",
            "city": "SEABROOK",
            "state": "NH",
            "postal_code": "038744028",
            "telephone_number": "603-474-9506",
            "fax_number": "603-474-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONEY",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "1862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "1862",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MA",
            "identifier": "X12454",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER PROVIDER",
            "identifier": "844366",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89192106",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chang Soo Daniel Lee, O.D.
• Lifetime Dental Professionals of New Hampshire, P.C.
• Alyssia Lin, FNP-BC
• Tatiana Lucente Stabile
• Kevin Maillet, PHARMD
• Alison Mollica
• Carolyn Anne Nadworny, BS RPH
• Northstar Psychiatric Health PLLC
• Optometric Providers of New Hampshire, PLLC
• Paula Torres Ortiz

• All providers in Seabrook, NH
• General Practice Dentistry in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.