Jonathan Brandan Nutt, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

04415 Issued in NH

Practice address

454 Old Street Rd
Peterborough, NH 03458-1200

Phone

(603) 924-9688

NPI assigned

Jun 12, 2018

Last updated

Jun 12, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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.

• Raynor Dental PLLC

  • General Practice Dentistry
  • Keene, NH
  • NPI 1669701272
  NPD (past)

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1306339593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 OLD STREET RD",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034581200",
            "telephone_number": "603-924-9688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 OLD STREET RD",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034581200",
            "telephone_number": "603-924-9688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 Court St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Keene",
            "state": "NH",
            "postal_code": "034311759",
            "country_code": "US",
            "telephone_number": "603-352-0006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUTT",
        "first_name": "JONATHAN",
        "middle_name": "BRANDAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NH",
            "license": "04415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nieskens & Yoe DDS
• John A Nieskens, DDS
• Ashley Nightingale
• North Meadow Family Health
• North Meadow Family Health
• Maureen O Brien, MSSA LICSW
• Brooke Nicole O'Connor, APRN
• Elizabeth O'Neil
• Amy Sue Odell Wilson, LIC. ACUPUNCTURIST
• Celia Gail Oliver, PH.D., PSY.D.

• Dentist in Peterborough, NH
• Providers in Peterborough, NH by specialty
• Dentist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; 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.