NPIMap

Organization Active NPI

Catholic Medical Center

Doing business as Poisson Dental Facility

  • Public Health Dentistry
  • Manchester, NH
National Provider Identifier
1194733691
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
CATHOLIC MEDICAL CENTER
Doing business as
Poisson Dental Facility
Practice address
100 McGregor St
Poisson Dental Facility
Manchester, NH 03102-3730
Phone
(603) 663-6226
Fax
(603) 663-7800
NPI assigned
Aug 3, 2006
Last updated
Oct 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Authorized official

Name
Mr. Paul A Mertzic, RN
Title
Director, Community Health Services
Phone
(603) 663-8709

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X NH Primary

Addresses

Primary practice location

100 McGregor St
Poisson Dental Facility
Manchester, NH 03102-3730

Mailing address

100 McGregor St
Poisson Dental Facility
Manchester, NH 03102-3730
Phone (603) 663-6226

Other identifiers 1

IdentifierTypeStateIssuer
30312091MedicaidNH

Other names 1

  • Poisson Dental Facility Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmcnh@gohnh.Allscriptsdirect.net Direct

National Provider Directory

National Provider Directory
Tax ID family
Catholic Healthcare Trust9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1194733691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MCGREGOR ST",
            "address_2": "POISSON DENTAL FACILITY",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031023730",
            "telephone_number": "603-663-6226",
            "fax_number": "603-663-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MCGREGOR ST",
            "address_2": "POISSON DENTAL FACILITY",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031023730",
            "telephone_number": "603-663-6226",
            "fax_number": "603-663-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "MERTZIC",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR, COMMUNITY HEALTH SERVICES",
        "authorized_official_telephone_number": "603-663-8709",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "NH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30312091",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmcnh@gohnh.Allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "88 McGregor St Ste 305",
            "city": "Manchester",
            "state": "NH",
            "country_code": "US",
            "postal_code": "031023734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Poisson Dental Facility",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Poisson Dental Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 20, 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.