Angela Carter

Individual provider Active NPI Dental Hygienist · Manchester, NH

NPI 1376290205 · NPPES record last updated Mar 10, 2022

Key facts

NPI
1376290205
Entity type
Individual (NPI type 1)
Primary specialty
Dental Hygienist 124Q00000X
Practice address
1525 S Willow St
Manchester, NH 03103-3209
Phone
(603) 641-5200
NPI assigned
Mar 10, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X Yes

Addresses

Primary practice location

1525 S Willow St
Manchester, NH 03103-3209

Mailing address

4 New Haven Dr Apt 201
Nashua, NH 03063-5070

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 10, 2022.

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1376290205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 NEW HAVEN DR APT 201",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030635070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 S WILLOW ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031033209",
            "telephone_number": "603-641-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

All providers in Manchester, NH · Dental Hygienist in New Hampshire

Sources for this page

Verify at the official NPI Registry.