Individual provider Active NPI

Kathleen Carew Lamontagne, DMD

  • General Practice Dentistry
  • Manchester, NH
National Provider Identifier
1558971531
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
04578 Issued in NH
Practice address
252 Jewett St
Manchester, NH 03103-2823
Phone
(603) 622-7973
NPI assigned
Aug 5, 2020
Last updated
Jan 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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 04578 NH Primary

Addresses

Primary practice location

252 Jewett St
Manchester, NH 03103-2823

Mailing address

97 White Pine LN
Manchester, NH 03102-8100
Phone (603) 682-3874

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
04578NHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Roger Lamontagne DMD General Practice PastSince Jan 19, 2025 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": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1558971531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 WHITE PINE LN",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031028100",
            "telephone_number": "603-682-3874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 JEWETT ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031032823",
            "telephone_number": "603-622-7973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMONTAGNE",
        "first_name": "KATHLEEN",
        "middle_name": "CAREW",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "04578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.