Douglas J. Elliott

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

3388 Issued in NH

Practice address

27 Loop Rd
Merrimack, NH 03054-3659

Phone

(603) 424-1199

Fax

(603) 424-5566

NPI assigned

Jun 19, 2008

Last updated

Jun 19, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elliott Orthodontics, PLLC

  dba Elliott Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Merrimack, NH
  • NPI 1871609230
  NPD (past) Authorized official
• River Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Merrimack, NH
  • NPI 1356208656
  NPD (past)

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213833600000",
    "number": "1275794463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 LOOP RD",
            "city": "MERRIMACK",
            "state": "NH",
            "postal_code": "030543659",
            "telephone_number": "603-424-1199",
            "fax_number": "603-424-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 LOOP RD",
            "city": "MERRIMACK",
            "state": "NH",
            "postal_code": "030543659",
            "telephone_number": "603-424-1199",
            "fax_number": "603-424-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "DOUGLAS",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-19",
        "last_updated": "2008-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NH",
            "license": "3388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne Arnold Dutch, RPH, PHARMD,CGP
• Heather Layne Eggleston, PHARMD
• Christina Lee Eichhorn
• Elliott Orthodontics, PLLC (Elliott Orthodontics)
• Ariel Elliott
• Empower Perinatal
• Enrich Life Care LLC
• Family Chiropractic of Merrimack and Wellness Center LLC
• Susan J Fanburg, MD
• Jack Faraci, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Merrimack, NH
• Providers in Merrimack, NH by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.