Individual provider Active NPI

Michael Joseph Paisner, DMD

  • Dentist
  • Nashua, NH
National Provider Identifier
1174844153
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
03778 Issued in NH
Practice address
78 Northeastern Blvd Ste 5
Nashua, NH 03062-3179
Phone
(603) 883-6546
Fax
(603) 595-1826
NPI assigned
Jun 14, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 03778 NH Primary

Addresses

Primary practice location

78 Northeastern Blvd Ste 5
Nashua, NH 03062-3179

Mailing address

78 Northeastern Blvd Ste 5
Nashua, NH 03062-3179
Phone (603) 883-6546

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160323001604 NH Order and Referring Only - DentistPractitioner - Dentist 3779880455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03778NHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Paisner Dental Associates PC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276473600000",
    "number": "1174844153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 NORTHEASTERN BLVD STE 5",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030623179",
            "telephone_number": "603-883-6546",
            "fax_number": "603-595-1826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 NORTHEASTERN BLVD STE 5",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030623179",
            "telephone_number": "603-883-6546",
            "fax_number": "603-595-1826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAISNER",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-14",
        "last_updated": "2010-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NH",
            "license": "03778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.