Jebediah Shepherd Christy, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

03540 Issued in NH

Practice address

36 Endicott Street East
Laconia, NH 03247-5577

Phone

(603) 520-9786

NPI assigned

Oct 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497830889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5577",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032475577",
            "telephone_number": "603-520-9786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 ENDICOTT STREET EAST",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032475577",
            "telephone_number": "603-520-9786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTY",
        "first_name": "JEBEDIAH",
        "middle_name": "SHEPHERD",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NH",
            "license": "03540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30304351",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne Myers Cheshire, M.ED., CCC-SLP
• Nadine Marie Chesnis, BS
• Sarah Chickering
• Michael R Chicoine, PA
• Paige Chouinard
• Chrystie Ciaio, DC
• City of Laconia
• Kit Clark, CRNA
• Taylar Clark
• Paula Kaye Clearwater, LPC

• Dentist in Laconia, NH
• Providers in Laconia, NH by specialty
• Dentist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.