Dale Roy Childs, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

4672 Issued in NH

Practice address

919 Paine Rd
Franconia, NH 03580-5402

Phone

(603) 616-6221

NPI assigned

Nov 10, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226275200000",
    "number": "1235383712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 248",
            "city": "FRANCONIA",
            "state": "NH",
            "postal_code": "035800248",
            "telephone_number": "603-616-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 PAINE RD",
            "city": "FRANCONIA",
            "state": "NH",
            "postal_code": "035805402",
            "telephone_number": "603-616-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDS",
        "first_name": "DALE",
        "middle_name": "ROY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-10",
        "last_updated": "2008-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NH",
            "license": "4672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ammonoosuc Community Health Services, Inc
• Heidi Behrendt, MSW, LICSW
• Rebekah Sommers Bevin, OTR/L
• Allison Carey-Mersch, PT, DPT
• Andrew L Chen, M.D., M.S.
• Susan E Cook, MS-PT
• Christina Maria Dagostino
• Robert V Dallas, M.D.
• Kasra Djalayer, MD
• Kelly Donohue

• Specialist in Franconia, NH
• Providers in Franconia, NH by specialty
• Specialist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; 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.