Organization Active NPI

Seabrook Dental Care Corp

  • General Practice Dentistry
  • Salem, NH
National Provider Identifier
1497166367
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
03726 Issued in NH
Legal business name
SEABROOK DENTAL CARE CORP
Practice address
12 Stiles Rd
Suite 205
Salem, NH 03079-2879
Phone
(603) 898-9180
NPI assigned
May 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2014

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

Authorized official

Name
Dr. Ridhima Goyal, D.M.D
Title
Dentist
Phone
(603) 898-9180

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 03726 NH Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 04014 NH
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 03434 NH

Addresses

Primary practice location

12 Stiles Rd
Suite 205
Salem, NH 03079-2879

Mailing address

12 Stiles Rd Ste 205
Salem, NH 03079-2881
Phone (603) 898-9180

National Provider Directory

National Provider Directory

Locations

12 Stiles Rd
Ste 205
Salem, NH 03079
Phone (603) 898-9180

Practitioners & affiliated clinicians

Practitioners 2

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": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1497166367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 STILES RD STE 205",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792881",
            "telephone_number": "603-898-9180",
            "fax_number": "603-389-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 STILES RD",
            "address_2": "SUITE 205",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792879",
            "telephone_number": "603-898-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEABROOK DENTAL CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "GOYAL",
        "authorized_official_first_name": "RIDHIMA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "603-898-9180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "03726",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "04014",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "03434",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.