Organization Active NPI

Plaistow Pediatric Dentistry & Orthodontics, PLLC

  • Pediatric Dentistry
  • Plaistow, NH
National Provider Identifier
1366151102
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
PLAISTOW PEDIATRIC DENTISTRY & ORTHODONTICS, PLLC
Practice address
166 Plaistow Rd
Plaistow, NH 03865-2843
Phone
(603) 974-1150
NPI assigned
Nov 21, 2022
Last updated
Feb 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Authorized official

Name
Meg Horan
Title
Office Manager
Phone
(603) 974-1150

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X Primary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X

Addresses

Primary practice location

166 Plaistow Rd
Plaistow, NH 03865-2843

Mailing address

166 Plaistow Rd
Plaistow, NH 03865-2843
Phone (603) 974-1150

Other identifiers 1

IdentifierTypeStateIssuer
3132368MedicaidNH

National Provider Directory

National Provider Directory

Locations

166 Plaistow Rd
Plaistow, NH 03865
Phone (603) 499-4535

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1366151102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 PLAISTOW RD",
            "city": "PLAISTOW",
            "state": "NH",
            "postal_code": "038652843",
            "telephone_number": "603-974-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 PLAISTOW RD",
            "city": "PLAISTOW",
            "state": "NH",
            "postal_code": "038652843",
            "telephone_number": "603-974-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAISTOW PEDIATRIC DENTISTRY & ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-21",
        "last_updated": "2023-02-08",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "HORAN",
        "authorized_official_first_name": "MEG",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "603-974-1150"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3132368",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plaistow, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.