Organization Active NPI

Concord Orthodontics, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Concord, NH
National Provider Identifier
1295387140
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
CONCORD ORTHODONTICS, PLLC
Practice address
16 Foundry St Ste 202
Concord, NH 03301-5431
Phone
(603) 333-2538
NPI assigned
Jul 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Authorized official

Name
Jamie Caswell Young
Title
Business Manager
Phone
(603) 224-3339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

16 Foundry St Ste 202
Concord, NH 03301-5431

Mailing address

16 Foundry St Ste 202
Concord, NH 03301-5431
Phone (603) 333-2538

National Provider Directory

National Provider Directory

Locations

16 Foundry St
Ste 202
Concord, NH 03301
Phone (603) 333-2538

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": "1562803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562803200000",
    "number": "1295387140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 FOUNDRY ST STE 202",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015431",
            "telephone_number": "603-333-2538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 FOUNDRY ST STE 202",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015431",
            "telephone_number": "603-333-2538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-11",
        "status": "A",
        "authorized_official_last_name": "CASWELL YOUNG",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "603-224-3339"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.