Individual provider Active NPI

Michael R. Dion, DMD

  • General Practice Dentistry
  • Derry, NH
National Provider Identifier
1538145669
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
L2191 Issued in NH
Practice address
24 Pinkerton St
Derry, NH 03038-1504
Phone
(603) 434-0040
Fax
(603) 432-6346
NPI assigned
Dec 20, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 L2191 NH Primary

Addresses

Primary practice location

24 Pinkerton St
Derry, NH 03038-1504

Mailing address

24 Pinkerton St
Derry, NH 03038-1504
Phone (603) 434-0040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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

Enrollment IDStateProvider typePAC IDDetails
I20160201000596 NH Order and Referring Only - DentistPractitioner - Dentist 3274837984

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L2191NHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Pinkerton Dental Group PLLC PastSince Dec 21, 2025 Accepting new patients
Michael R Dion DMD Fagd General Practice Past Accepting new patients

Organizations & group practices 2

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": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538145669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 PINKERTON ST",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381504",
            "telephone_number": "603-434-0040",
            "fax_number": "603-432-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 PINKERTON ST",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381504",
            "telephone_number": "603-434-0040",
            "fax_number": "603-432-6346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DION",
        "first_name": "MICHAEL",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "L2191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derry, NH

Sources for this page

Verify at the official NPI Registry.