Organization Active NPI

Monadnock Orthodontics, P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Peterborough, NH
National Provider Identifier
1417055047
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
MONADNOCK ORTHODONTICS, P.C.
Practice address
166 Hancock Rd
Peterborough, NH 03458-2106
Phone
(603) 924-3040
Fax
(603) 924-8502
NPI assigned
Sep 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kristiana Larsen
Title
Financial Adminstrator
Phone
(603) 924-3040

Specialties & licenses 1

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

Addresses

Primary practice location

166 Hancock Rd
Peterborough, NH 03458-2106

Mailing address

166 Hancock Rd
Peterborough, NH 03458-2106
Phone (603) 924-3040

Other identifiers 1

IdentifierTypeStateIssuer
30007750MedicaidNH

National Provider Directory

National Provider Directory

Locations

166 Hancock Rd
Peterborough, NH 03458
Phone (603) 924-3040

Practitioners & affiliated clinicians

Practitioners 2

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417055047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 HANCOCK RD",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034582106",
            "telephone_number": "603-924-3040",
            "fax_number": "603-924-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 HANCOCK RD",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034582106",
            "telephone_number": "603-924-3040",
            "fax_number": "603-924-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONADNOCK ORTHODONTICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "KRISTIANA",
        "authorized_official_title_or_position": "FINANCIAL ADMINSTRATOR",
        "authorized_official_telephone_number": "603-924-3040"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30007750",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peterborough, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.