Organization Active NPI

Soheila Degieux DDS Inc

  • General Practice Dentistry
  • Penacook, NH
National Provider Identifier
1487868972
Registry record updated Sep 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3277 Issued in NH
Legal business name
SOHEILA DEGIEUX DDS INC
Doing business as
PENACOOK FAMILY DENTISTRY
Practice address
345 Village St
Penacook, NH 03303-4516
Phone
(603) 753-6371
Fax
(603) 753-8206
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2010

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

Authorized official

Name
Joel F Winchenbaugh
Title
Business Manager
Phone
(603) 753-6371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 3277 NH Primary

Addresses

Primary practice location

345 Village St
Penacook, NH 03303-4516

Mailing address

345 Village St
Penacook, NH 03303-4516
Phone (603) 753-6371

Other identifiers 1

IdentifierTypeStateIssuer
30312322MedicaidNH

Other names 1

  • PENACOOK FAMILY DENTISTRY Doing business as

National Provider Directory

National Provider Directory

Locations

345 Village St
Penacook, NH 03303
Phone (603) 753-6371

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1487868972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 VILLAGE ST",
            "city": "PENACOOK",
            "state": "NH",
            "postal_code": "033034516",
            "telephone_number": "603-753-6371",
            "fax_number": "603-753-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 VILLAGE ST",
            "city": "PENACOOK",
            "state": "NH",
            "postal_code": "033034516",
            "telephone_number": "603-753-6371",
            "fax_number": "603-753-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOHEILA DEGIEUX DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "WINCHENBAUGH",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "603-753-6371"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "3277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30312322",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PENACOOK FAMILY DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Penacook, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.