Active NPI
James T Sheehan, DDS
- Dentist
- Concord, NH
National Provider Identifier
1306901871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Practice address
- 143 Airport Road
In Care of Grace Family Dentistry
Concord, NH 03301 - Phone
- (603) 225-6650
- Fax
- (603) 225-9495
- NPI assigned
- Dec 26, 2006
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | NH | Primary |
Addresses
Primary practice location
143 Airport Road
In Care of Grace Family Dentistry
Concord, NH 03301
Mailing address
143 Airport Road
In Care of Grace Family Dentistry
Concord, NH 03301
Phone (603) 225-6650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30303533 | Medicaid | NH |
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 |
|---|---|---|---|
| 122300000X | NH | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace Family Dentistry | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Concord, NH
- NPI 1861457665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306901871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 AIRPORT ROAD",
"address_2": "IN CARE OF GRACE FAMILY DENTISTRY",
"city": "CONCORD",
"state": "NH",
"postal_code": "03301",
"telephone_number": "603-225-6650",
"fax_number": "603-225-9495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143 AIRPORT ROAD",
"address_2": "IN CARE OF GRACE FAMILY DENTISTRY",
"city": "CONCORD",
"state": "NH",
"postal_code": "03301",
"telephone_number": "603-225-6650",
"fax_number": "603-225-9495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEEHAN",
"first_name": "JAMES",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30303533",
"state": "NH"
}
],
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.