NPIMap

Organization Active NPI

Alice Peck Day Memorial Hospital

Doing business as Upper Valley Smiles

  • Public Health Dentistry
  • Lebanon, NH
National Provider Identifier
1417407388
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
1021-V Issued in NH
Legal business name
ALICE PECK DAY MEMORIAL HOSPITAL
Doing business as
Upper Valley Smiles
Practice address
10 Alice Peck Day Dr
Lebanon, NH 03766-2900
Phone
(603) 443-9548
Fax
(603) 442-5144
NPI assigned
Oct 4, 2016
Last updated
Oct 4, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
ALICE PECK DAY MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Authorized official

Name
Susan E Mooney, M.D., M.S.NPI 1740276757
Title
Ceo/President
Phone
(603) 442-5672

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
Public Health Dentistry 1223D0001X 1021-V NH Primary

Addresses

Primary practice location

10 Alice Peck Day Dr
Lebanon, NH 03766-2900

Mailing address

10 Alice Peck Day Dr
Lebanon, NH 03766-2900
Phone (603) 448-3121

Other names 1

  • Upper Valley Smiles Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Alice Peck Day Ecf5 organizations share this tax ID, including this one
Part of
Alice Peck Day Ecf

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1417407388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ALICE PECK DAY DR",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037662900",
            "telephone_number": "603-448-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ALICE PECK DAY DR",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037662900",
            "telephone_number": "603-443-9548",
            "fax_number": "603-442-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICE PECK DAY MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALICE PECK DAY MEMORIAL HOSPITAL",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "MOONEY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "603-442-5672",
        "authorized_official_credential": "M.D., M.S."
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "NH",
            "license": "1021-V",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upper Valley Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lebanon, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.