Individual provider Active NPI

Emilio Roberto Hernandez, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Concord, NH
National Provider Identifier
1225480809
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
04818 Issued in NH
Practice address
16 Foundry St Ste 202
Concord, NH 03301-9914
Phone
(603) 333-2538
NPI assigned
Jul 7, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DT2643 HI
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 04818 NH Primary

Addresses

Primary practice location

16 Foundry St Ste 202
Concord, NH 03301-9914

Mailing address

16 Foundry St Ste 202
Concord, NH 03301-9914
Phone (603) 333-2538

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DT2643HIMDDentist
04818NHMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
River Orthodontics PLLC Orthodontics and Dentofacial Orthopedics Current Accepting new patients
Yaser Alsaadi Past Accepting new patients
Concord Orthodontics, PLLC Orthodontics and Dentofacial Orthopedics PastSince Apr 28, 2024 Accepting new patients

Organizations & group practices 3

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": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1225480809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 FOUNDRY ST STE 202",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033019914",
            "telephone_number": "603-333-2538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 FOUNDRY ST STE 202",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033019914",
            "telephone_number": "603-333-2538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "EMILIO",
        "middle_name": "ROBERTO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-07",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "DT2643",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NH",
            "license": "04818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.