NPIMap

Organization Active NPI

Paul Decker DDS PLLC

  • General Practice Dentistry
  • Hanover, NH
National Provider Identifier
1366758963
Registry record updated Aug 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
03780 Issued in NH
Legal business name
PAUL DECKER DDS PLLC
Practice address
35 S Park St
Hanover, NH 03755-2109
Phone
(603) 643-5405
Fax
(603) 643-6157
NPI assigned
Aug 20, 2010
Last updated
Aug 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2010

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

Authorized official

Name
Dr. Paul Decker, DDSNPI 1356409916
Title
Owner
Phone
(603) 643-5405

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
General Practice Dentistry 1223G0001X 03780 NH Primary

Addresses

Primary practice location

35 S Park St
Hanover, NH 03755-2109

Mailing address

35 S Park St
Hanover, NH 03755-2109
Phone (603) 643-5405

National Provider Directory

National Provider Directory

Locations

35 S Park St
Hanover, NH 03755
Phone (603) 643-5405

Practitioners & affiliated clinicians

Practitioners 4

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": "1282262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282262400000",
    "number": "1366758963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 S PARK ST",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037552109",
            "telephone_number": "603-643-5405",
            "fax_number": "603-643-6157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 S PARK ST",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037552109",
            "telephone_number": "603-643-5405",
            "fax_number": "603-643-6157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL DECKER DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-20",
        "last_updated": "2010-08-20",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-643-5405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "03780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; 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.