Individual provider Active NPI

William H Vadeboncoeur III, LMT

  • Specialist
  • Plaistow, NH
National Provider Identifier
1467623181
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2521M Issued in NH
Practice address
168 Plaistow Rd
Plaistow, NH 03865-2897
Phone
(603) 382-8565
Fax
(603) 974-0887
NPI assigned
Mar 20, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 2521M NH Primary

Addresses

Primary practice location

168 Plaistow Rd
Plaistow, NH 03865-2897

Mailing address

168 Plaistow Rd
Plaistow, NH 03865-2897
Phone (603) 382-8565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2521MNHMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205971200000",
    "number": "1467623181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 PLAISTOW RD",
            "city": "PLAISTOW",
            "state": "NH",
            "postal_code": "038652897",
            "telephone_number": "603-382-8565",
            "fax_number": "603-974-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 PLAISTOW RD",
            "city": "PLAISTOW",
            "state": "NH",
            "postal_code": "038652897",
            "telephone_number": "603-382-8565",
            "fax_number": "603-974-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VADEBONCOEUR",
        "first_name": "WILLIAM",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NH",
            "license": "2521M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plaistow, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.