NPIMap

Organization Active NPI

Monadnock Pediatric Dentistry, LLC

  • Pediatric Dentistry
  • Jaffrey, NH
National Provider Identifier
1346337755
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
03525 Issued in NH
Legal business name
MONADNOCK PEDIATRIC DENTISTRY, LLC
Practice address
56 Peterborough St
Jaffrey, NH 03452-5860
Phone
(603) 532-8621
NPI assigned
Oct 6, 2006
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
Nancy Jun, DDSNPI 1588699300
Title
Owner
Phone
(603) 532-8621

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 03525 NH Primary

Addresses

Primary practice location

56 Peterborough St
Jaffrey, NH 03452-5860

Mailing address

56 Peterborough St
Jaffrey, NH 03452-5860

National Provider Directory

National Provider Directory

Locations

56 Peterborough St
Jaffrey, NH 03452
Phone (603) 532-8621

Practitioners & affiliated clinicians

Practitioners 2

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": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346337755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 PETERBOROUGH ST",
            "city": "JAFFREY",
            "state": "NH",
            "postal_code": "034525860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 PETERBOROUGH ST",
            "city": "JAFFREY",
            "state": "NH",
            "postal_code": "034525860",
            "telephone_number": "603-532-8621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONADNOCK PEDIATRIC DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JUN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-532-8621",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NH",
            "license": "03525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jaffrey, 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.