Lincoln Pediatric Dentistry

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

3985 Issued in NJ

Legal business name

LINCOLN PEDIATRIC DENTISTRY

Practice address

25 South Mountain Rd.
Lincoln, NH 03251

Phone

(603) 745-7266

NPI assigned

Apr 13, 2015

Last updated

Apr 13, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Patrick F. Capozzi, DDS

Title

Manager

Phone

(603) 745-7266

Specialties & licenses 5

Addresses

Other identifiers 6

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1437545829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 699",
            "address_2": "25 SO. MTN. DR., A-3",
            "city": "LINCOLN",
            "state": "NH",
            "postal_code": "03251",
            "telephone_number": "603-745-7266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 SOUTH MOUNTAIN RD.",
            "city": "LINCOLN",
            "state": "NH",
            "postal_code": "03251",
            "telephone_number": "603-745-7266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "CAPOZZI",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "603-745-7266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NH",
            "license": "3561",
            "primary": false
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NH",
            "license": "3893",
            "primary": false
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NH",
            "license": "3970",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NH",
            "license": "3005",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NJ",
            "license": "3985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3071357",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3078338",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3085887",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3071172",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3077206",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3082161",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Brian Dickinson, PA-C
• Rodney Alan Felgate, M.D.
• Brenda L. Hogan, RPH
• Anne Marie Homer
• Cynthia J Hyland, MA,CCC/SLP
• Lincoln Woodstock Cooperative School District
• Littleton Hospital Association (Lincoln Urgent Care)
• Karen J McNamara, LADC, SAP, IDSP
• Mid-State Health Center
• Mid-State Health Center

• Health Maintenance Organization in Lincoln, NH
• Providers in Lincoln, NH by specialty
• Health Maintenance Organization in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.