Active NPI
Foad Rasekh, DDS
- General Practice Dentistry
- West Lebanon, NH
National Provider Identifier
1295018877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 03867
- Practice address
- 285 Plainfield Rd
West Lebanon, NH 03784-2029 - Phone
- (603) 298-8099
- NPI assigned
- Sep 21, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 03867 | NH | Primary |
Addresses
Primary practice location
285 Plainfield Rd
West Lebanon, NH 03784-2029
Mailing address
281 Sanders Creek Pkwy
East Syracuse, NY 13057-1307
Phone (315) 454-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03867 | NH | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316563200000",
"number": "1295018877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "281 SANDERS CREEK PKWY",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130571307",
"telephone_number": "315-454-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 PLAINFIELD RD",
"city": "WEST LEBANON",
"state": "NH",
"postal_code": "037842029",
"telephone_number": "603-298-8099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASEKH",
"first_name": "FOAD",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-21",
"last_updated": "2011-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NH",
"license": "03867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.