Organization Active NPI

Northwood Family Dental Center, PLLC

  • General Practice Dentistry
  • Northwood, NH
National Provider Identifier
1245628924
Registry record updated Jan 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
04100 Issued in NH
Legal business name
NORTHWOOD FAMILY DENTAL CENTER, PLLC
Practice address
1505 First New Hampshire Tpke
Northwood, NH 03261-3217
Phone
(603) 942-5541
Fax
(603) 942-8002
NPI assigned
Jan 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2015

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

Authorized official

Name
Dr. Alison Elizabeth Gomes, D.M.DNPI 1437397064
Title
Pediatric Dentist
Phone
60394255441

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 04100 NH Primary

Addresses

Primary practice location

1505 First New Hampshire Tpke
Northwood, NH 03261-3217

Mailing address

PO Box 288
Northwood, NH 03261-0288
Phone (603) 942-5541

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1420156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420156800000",
    "number": "1245628924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 288",
            "city": "NORTHWOOD",
            "state": "NH",
            "postal_code": "032610288",
            "telephone_number": "603-942-5541",
            "fax_number": "603-942-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 FIRST NEW HAMPSHIRE TPKE",
            "city": "NORTHWOOD",
            "state": "NH",
            "postal_code": "032613217",
            "telephone_number": "603-942-5541",
            "fax_number": "603-942-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWOOD FAMILY DENTAL CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-02",
        "last_updated": "2015-01-02",
        "status": "A",
        "authorized_official_last_name": "GOMES",
        "authorized_official_first_name": "ALISON",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "60394255441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "04100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northwood, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; 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.