Robert Miskimen III, DDS, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

04623 Issued in NH

Practice address

55 E Broadway Unit 1
Derry, NH 03038-2401

Phone

(603) 945-1287

NPI assigned

Sep 3, 2014

Last updated

Mar 3, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1346640885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 S MAIN ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013483",
            "telephone_number": "603-609-7467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 E BROADWAY UNIT 1",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030382401",
            "telephone_number": "603-945-1287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Marketplace Blvd Unit 3",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NH",
            "postal_code": "038674387",
            "country_code": "US",
            "telephone_number": "603-392-7654",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "151 Main St",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "030602725",
            "country_code": "US",
            "telephone_number": "603-556-7043",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 Daniel Webster Hwy",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "030605536",
            "country_code": "US",
            "telephone_number": "603-873-4149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 S Main St",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033013483",
            "country_code": "US",
            "telephone_number": "603-608-3714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 Elm St",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031012103",
            "country_code": "US",
            "telephone_number": "603-556-4584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISKIMEN",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-03",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NH",
            "license": "04623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael R Dion DMD Fagd
• Emma B Michaud, AUD
• Michelle Horan Nutrition and Wellness
• Katelyn Lee Milligan, LMHC
• Ekaterina Mironova, AG-ACNP
• Derek Mixon, PHARMD
• Crystal Mohrmann
• Bonnie L Montague, M.ED., BCBA
• Angela Moran
• Diana Moran

• Oral and Maxillofacial Surgery (Dentist) in Derry, NH
• Providers in Derry, NH by specialty
• Oral and Maxillofacial Surgery (Dentist) in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.