Amelia Merchant Grabe, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3503 Issued in NH

Practice address

275 Main St
Charlestown, NH 03603-4910

Phone

(603) 826-5766

Fax

(603) 826-5767

NPI assigned

May 24, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Dr. Amelia Grabe Lane Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• George H. Grabe DMD PA

  • Dentist
  • Charlestown, NH
  • NPI 1740358530
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1245441286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P. O. BOX 389",
            "city": "CHARLESTOWN",
            "state": "NH",
            "postal_code": "036030389",
            "telephone_number": "603-826-5766",
            "fax_number": "603-826-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 MAIN ST",
            "city": "CHARLESTOWN",
            "state": "NH",
            "postal_code": "036034910",
            "telephone_number": "603-826-5766",
            "fax_number": "603-826-5767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "391 West St",
            "address_purpose": "LOCATION",
            "city": "Keene",
            "state": "NH",
            "postal_code": "034312409",
            "country_code": "US",
            "telephone_number": "603-357-0677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRABE",
        "first_name": "AMELIA",
        "middle_name": "MERCHANT",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VT",
            "license": "106806",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ME",
            "license": "3788",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21491",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "3503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1245441286",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMELIA",
            "last_name": "LANE",
            "middle_name": "GRABE",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lynn Susan Fortin, PT
• Sharon Patricia Gamache, RN
• George H. Grabe DMD PA
• Tamara Lee Golden, HNB-BC, WHE, NBC-HWC
• Clare Barrett Gowen, PT
• George H. Grabe, D.M.D.
• Debra Lee Gray, COTA/L
• Ivy Morgan Grenier, PTA
• Brendan A. Klema, DC
• Terrell G Klema, DC

• General Practice Dentistry in Charlestown, NH
• Providers in Charlestown, NH by specialty
• General Practice Dentistry in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.