NPIMap

Organization Active NPI

Norman H Proulx D.D.S.

  • General Practice Dentistry
  • Manchester, NH
National Provider Identifier
1316169360
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1035 Issued in NH
Legal business name
NORMAN H PROULX D.D.S.
Practice address
1140 Somerville St
Manchester, NH 03103-2847
Phone
(603) 624-4313
Fax
(603) 624-1695
NPI assigned
May 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Norman H Proulx, D.D.S.NPI 1932244118
Title
Owner Practitioner
Phone
(603) 624-4313

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1035 NH Primary

Addresses

Primary practice location

1140 Somerville St
Manchester, NH 03103-2847

Mailing address

1140 Somerville St
Manchester, NH 03103-2847
Phone (603) 624-4313

Other identifiers 1

IdentifierTypeStateIssuer
89191443MedicaidNH

National Provider Directory

National Provider Directory

Locations

1140 Somerville St
Manchester, NH 03103
Phone (603) 624-4313

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316169360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 SOMERVILLE ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031032847",
            "telephone_number": "603-624-4313",
            "fax_number": "603-624-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 SOMERVILLE ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031032847",
            "telephone_number": "603-624-4313",
            "fax_number": "603-624-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMAN H PROULX D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PROULX",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER PRACTITIONER",
        "authorized_official_telephone_number": "603-624-4313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "1035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89191443",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.