Individual provider Active NPI

Frank G Manchester, DDS

  • Dentist
  • Dover, NH
National Provider Identifier
1316059520
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1899 Issued in NH
Practice address
40 Chestnut St
Dover, NH 03820-3392
Phone
(603) 742-4735
Fax
(603) 742-9911
NPI assigned
Sep 1, 2006
Last updated
Jun 17, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1899 NH Primary
Dentist 122300000X 16012 MA
Dentist 122300000X 15277 OH

Addresses

Primary practice location

40 Chestnut St
Dover, NH 03820-3392

Mailing address

40 Chestnut Street
Suite 2
Dover, NH 03820
Phone (603) 742-4735

Other identifiers 1

IdentifierTypeStateIssuer
0206196Y0NH01OtherNHBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150622000279 NH Order and Referring Only - DentistPractitioner - Dentist 8426369232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16012MAMDDentist
1899NHMDDentist
15277OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Parkway Dental Associates Dentist Past Accepting new patients
Dover Dental Group PLLC Dentist PastSince Nov 29, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1316059520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 CHESTNUT STREET",
            "address_2": "SUITE 2",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "03820",
            "telephone_number": "603-742-4735",
            "fax_number": "603-742-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CHESTNUT ST",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203392",
            "telephone_number": "603-742-4735",
            "fax_number": "603-742-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCHESTER",
        "first_name": "FRANK",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NH",
            "license": "1899",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "16012",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "15277",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0206196Y0NH01",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

Verify at the official NPI Registry.