Organization Active NPI

Willliam a. Mehan, DMD Professional Assoc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Manchester, NH
National Provider Identifier
1326251935
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
1423 Issued in NH
Legal business name
WILLLIAM A. MEHAN, DMD PROFESSIONAL ASSOC.
Practice address
113 Mammoth Rd
Manchester, NH 03109-4337
Phone
(603) 623-8003
Fax
(603) 623-1191
NPI assigned
May 8, 2007
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. William A. Mehan, DMD
Title
President
Phone
(603) 623-8003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 1423 NH Primary

Addresses

Primary practice location

113 Mammoth Rd
Manchester, NH 03109-4337

Mailing address

113 Mammoth Rd
Manchester, NH 03109-4337
Phone (603) 623-8003

Other identifiers 1

IdentifierTypeStateIssuer
1423OtherNHDENTAL LICENSE NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326251935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 MAMMOTH RD",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031094337",
            "telephone_number": "603-623-8003",
            "fax_number": "603-623-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 MAMMOTH RD",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031094337",
            "telephone_number": "603-623-8003",
            "fax_number": "603-623-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLLIAM A. MEHAN, DMD PROFESSIONAL ASSOC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEHAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-623-8003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NH",
            "license": "1423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE NUMBER",
            "identifier": "1423",
            "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.