Keene Periodontic Specialists LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

KEENE PERIODONTIC SPECIALISTS LLC

Practice address

222 West St
Suite 14
Keene, NH 03431-2455

Phone

(603) 352-0099

NPI assigned

Nov 6, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey William Rodden, DDSNPI 1811066814

Title

Managing Member

Phone

(603) 352-0099

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Jeffrey William Rodden, DDS

  • Periodontics
  • Keene, NH
  • NPI 1811066814
  NPD (past) Authorized official
• Karen Elinor Rodden, DDS

  • Periodontics
  • Keene, NH
  • NPI 1023187929
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275602179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 WEST ST",
            "address_2": "SUITE 14",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034312455",
            "telephone_number": "603-352-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 WEST ST",
            "address_2": "SUITE 14",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034312455",
            "telephone_number": "603-352-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEENE PERIODONTIC SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RODDEN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "603-352-0099",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Keene Neuropsychology Clinic PLLC
• Keene Orthodontic Specialists
• Keene Orthodontic Specialists, PA
• Keene School District
• Keene Serenity Center Inc
• Keene Smiles PC
• Keene SNF Opco LLC (Langdon Place of Keene)
• Keene Vision Limited Partnership (Vision Center)

• Periodontics in Keene, NH
• Providers in Keene, NH by specialty
• Periodontics in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.