One Commons Endodontics PLLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

03977 Issued in NH

Legal business name

ONE COMMONS ENDODONTICS PLLC

Practice address

1F Commons Dr Unit 39
Londonderry, NH 03053-3474

Phone

(603) 552-3632

Fax

(603) 818-4903

NPI assigned

Mar 7, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Christopher S Mirucki, DMD

Title

Owner

Phone

(603) 552-3632

Specialties & licenses 1

Addresses

Other names 1

• Modern Endodontics Doing business as

Locations

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520380800000",
    "number": "1326540253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1F COMMONS DR UNIT 39",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533474",
            "telephone_number": "603-552-3632",
            "fax_number": "603-818-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1F COMMONS DR UNIT 39",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533474",
            "telephone_number": "603-552-3632",
            "fax_number": "603-818-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE COMMONS ENDODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-03-07",
        "status": "A",
        "authorized_official_last_name": "MIRUCKI",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-552-3632",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "NH",
            "license": "03977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Endodontics in Londonderry, NH
• Providers in Londonderry, NH by specialty
• Endodontics in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.