Emily Jeanne Samuel

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

03146 Issued in NH

Legal business name

EMILY JEANNE SAMUEL

Doing business as

Walpole Orthodontics

Practice address

24 Westminster Street West
Walpole, NH 03608-0815

Phone

(603) 904-4150

NPI assigned

Oct 27, 2014

Last updated

Oct 27, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Emily Jeanne Samuel, DMD

Title

Sole Proprietor/Doctor

Phone

(603) 904-4150

Specialties & licenses 1

Addresses

Other names 1

• Walpole Orthodontics Doing business as

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1346645884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 815",
            "address_2": "24 WESTMINSTER STREET",
            "city": "WALPOLE",
            "state": "NH",
            "postal_code": "036080815",
            "telephone_number": "603-904-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 WESTMINSTER STREET WEST",
            "city": "WALPOLE",
            "state": "NH",
            "postal_code": "036080815",
            "telephone_number": "603-904-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILY JEANNE SAMUEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "SOLE PROPRIETOR/DOCTOR",
        "authorized_official_telephone_number": "603-904-4150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NH",
            "license": "03146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walpole Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peter Luke Bowman, DDS
• Philip Carroll, M.D.
• Robert Bruce Cochran, MD
• Michelle Cutler, APRN
• Michael F. Daley, ARNP
• Sara Flynn
• Tyler Hancock, DMD
• Deborah Pauline Kelsey, OTR
• Christopher La Rocca, MD
• Lawrence Douglas Martin, D.D.S.

• Orthodontics and Dentofacial Orthopedics Dentistry in Walpole, NH
• Providers in Walpole, NH by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.