Organization Active NPI

Shauna L.Gauthier DMD PLLC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Laconia, NH
National Provider Identifier
1407133234
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
03806 Issued in NH
Legal business name
SHAUNA L.GAUTHIER DMD PLLC
Practice address
96 High St
Laconia, NH 03246-3537
Phone
(603) 527-1700
Fax
(603) 527-1785
NPI assigned
Nov 8, 2011
Last updated
Nov 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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

Authorized official

Name
Shauna L Gauthier, DMDNPI 1528138344
Title
Owner
Phone
(603) 527-1700

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
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 03806 NH Primary

Addresses

Primary practice location

96 High St
Laconia, NH 03246-3537

Mailing address

96 High St
Laconia, NH 03246-3537
Phone (603) 527-1700

Other identifiers 1

IdentifierTypeStateIssuer
30308320MedicaidNH

National Provider Directory

National Provider Directory

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": "1320710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1407133234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 HIGH ST",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463537",
            "telephone_number": "603-527-1700",
            "fax_number": "603-527-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 HIGH ST",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463537",
            "telephone_number": "603-527-1700",
            "fax_number": "603-527-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAUNA L.GAUTHIER DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-08",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "GAUTHIER",
        "authorized_official_first_name": "SHAUNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-527-1700",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "NH",
            "license": "03806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30308320",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laconia, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.