Active NPI
Darren Michael Phipps, DDS
- Dentist
- New London, NH
National Provider Identifier
1407926934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3131
- Practice address
- 299 Main Street
New London, NH 03257 - Phone
- (603) 526-6655
- Fax
- (603) 526-6617
- NPI assigned
- Nov 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3131 | NH | Primary |
Addresses
Primary practice location
299 Main Street
New London, NH 03257
Mailing address
PO Box 307
New London, NH 03257
Phone (603) 526-6655
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30302086 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160512000083 | NH | Order and Referring Only - Other (Physician) | 6002105269 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3131 | NH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407926934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 307",
"city": "NEW LONDON",
"state": "NH",
"postal_code": "03257",
"telephone_number": "603-526-6655",
"fax_number": "603-526-6617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "299 MAIN STREET",
"city": "NEW LONDON",
"state": "NH",
"postal_code": "03257",
"telephone_number": "603-526-6655",
"fax_number": "603-526-6617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHIPPS",
"first_name": "DARREN",
"middle_name": "MICHAEL",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NH",
"license": "3131",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30302086",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in New London, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.