NPIMap

Organization Active NPI

Lifetime Dental Professionals of New Hampshire, P.C.

  • General Practice Dentistry
  • Exeter, NH
National Provider Identifier
1265844518
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LIFETIME DENTAL PROFESSIONALS OF NEW HAMPSHIRE, P.C.
Practice address
16 Hampton Rd
Exeter, NH 03833-4808
Phone
(603) 772-7874
NPI assigned
May 21, 2014
Last updated
Jan 30, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
LIFETIME DENTAL PROFESSIONALS OF NEW HAMPSHIRE, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Authorized official

Name
Kendra Walker
Title
Credentialing Coordinator
Phone
(217) 540-8513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

16 Hampton Rd
Exeter, NH 03833-4808

Mailing address

16 Hampton Rd
Exeter, NH 03833-4808

National Provider Directory

National Provider Directory
Tax ID family
Lifetime Dental Professionals of New Hampshire PC5 organizations share this tax ID, including this one
Part of
Lifetime Dental Professionals of New Hampshire PC

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 5

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": "1400630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548806400000",
    "number": "1265844518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HAMPTON RD",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038334808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 HAMPTON RD",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038334808",
            "telephone_number": "603-772-7874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME DENTAL PROFESSIONALS OF NEW HAMPSHIRE, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFETIME DENTAL PROFESSIONALS OF NEW HAMPSHIRE, P.C.",
        "enumeration_date": "2014-05-21",
        "last_updated": "2019-01-30",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-8513"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exeter, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.