Individual provider Active NPI

Elizabeth Dibona, D.M.D.

  • General Practice Dentistry
  • Exeter, NH
National Provider Identifier
1497911408
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3678 Issued in NH
Practice address
19 Hampton Rd
Suite 11
Exeter, NH 03833-4816
Phone
(603) 772-4352
NPI assigned
Jul 30, 2008
Last updated
Jul 30, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3678 NH Primary

Addresses

Primary practice location

19 Hampton Rd
Suite 11
Exeter, NH 03833-4816

Mailing address

4 Laurel LN
Kensington, NH 03833-5612

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
3678NHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dibona Dental Group General Practice Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217376000000",
    "number": "1497911408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LAUREL LN",
            "city": "KENSINGTON",
            "state": "NH",
            "postal_code": "038335612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 HAMPTON RD",
            "address_2": "SUITE 11",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038334816",
            "telephone_number": "603-772-4352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBONA",
        "first_name": "ELIZABETH",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-30",
        "last_updated": "2008-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "3678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exeter, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.