Individual provider Active NPI

Deborah Munoz, DMD

  • Prosthodontics
  • Bedford, NH
National Provider Identifier
1447421748
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
03997 Issued in NH
Practice address
262 S River Rd Ste 102
Bedford, NH 03110-6916
Phone
(603) 625-6456
Fax
(603) 627-6556
NPI assigned
Mar 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN219921 MA
Prosthodontics 1223P0700X 03997 NH Primary

Addresses

Primary practice location

262 S River Rd Ste 102
Bedford, NH 03110-6916

Mailing address

262 S River Rd Ste 102
Bedford, NH 03110-6916
Phone (603) 625-6456

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160406001682 NH Order and Referring Only - DentistPractitioner - Dentist 4688972755

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN219921MAMDDentist
03997NHMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Timothy L. McKinney DDS P.C. Prosthodontics Past Accepting new patients
Bedford Center for Prosthodontics Prosthodontics Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1447421748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 S RIVER RD STE 102",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106916",
            "telephone_number": "603-625-6456",
            "fax_number": "603-627-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 S RIVER RD STE 102",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106916",
            "telephone_number": "603-625-6456",
            "fax_number": "603-627-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "DEBORAH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-14",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN219921",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NH",
            "license": "03997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

Verify at the official NPI Registry.