NPIMap

Organization Active NPI

Amazing Smiles Family Dental Center

Doing business as Fredrick M. Vega, D.D.S., P.C.

  • Dental Clinic/Center
  • Hooksett, NH
National Provider Identifier
1245409150
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
1857 Issued in NH
Legal business name
AMAZING SMILES FAMILY DENTAL CENTER
Doing business as
Fredrick M. Vega, D.D.S., P.C.
Practice address
311 W River Rd
Suite 2
Hooksett, NH 03106-2635
Phone
(603) 485-7600
NPI assigned
Feb 25, 2008
Last updated
Jun 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Dr. Fredrick M. Vega, D.D.S.NPI 1831312990
Title
President
Phone
(603) 485-7600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 1857 NH Primary

Addresses

Primary practice location

311 W River Rd
Suite 2
Hooksett, NH 03106-2635

Mailing address

311 W River Rd
Suite 2
Hooksett, NH 03106-2635
Phone (603) 485-7600

Other identifiers 1

IdentifierTypeStateIssuer
30313725NHMedicaidNH

Other names 1

  • Fredrick M. Vega, D.D.S., P.C. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fredrick M Vega DDS PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

311 West River Rd
Ste 2
Hooksett, NH 03106
Phone (603) 485-7600

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1245409150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 W RIVER RD",
            "address_2": "SUITE 2",
            "city": "HOOKSETT",
            "state": "NH",
            "postal_code": "031062635",
            "telephone_number": "603-485-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W RIVER RD",
            "address_2": "SUITE 2",
            "city": "HOOKSETT",
            "state": "NH",
            "postal_code": "031062635",
            "telephone_number": "603-485-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING SMILES FAMILY DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "VEGA",
        "authorized_official_first_name": "FREDRICK",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-485-7600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NH",
            "license": "1857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30313725NH",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fredrick M. Vega, D.D.S., P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hooksett, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.