NPIMap

Organization Active NPI

Your Nashua Dentist, PLLC

  • Dental Clinic/Center
  • Nashua, NH
National Provider Identifier
1336676493
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
04295 Issued in NH
Legal business name
YOUR NASHUA DENTIST, PLLC
Practice address
6 Concord St
Nashua, NH 03064-2355
Phone
(603) 882-8000
Fax
(603) 676-7066
NPI assigned
May 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Jun Yu
Title
Dentist
Phone
(603) 882-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 04295 NH Primary

Addresses

Primary practice location

6 Concord St
Nashua, NH 03064-2355

Mailing address

6 Concord St
Nashua, NH 03064-2355
Phone (603) 882-8000

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1336676493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CONCORD ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030642355",
            "telephone_number": "603-882-8000",
            "fax_number": "603-676-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CONCORD ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030642355",
            "telephone_number": "603-882-8000",
            "fax_number": "603-676-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR NASHUA DENTIST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-18",
        "last_updated": "2022-07-21",
        "certification_date": "2021-02-05",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "JUN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "603-882-8000"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NH",
            "license": "04295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.