Organization Active NPI

Andersen Family Dentistry PC

  • General Practice Dentistry
  • Littleton, NH
National Provider Identifier
1568792091
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
NH03157 Issued in NH
Legal business name
ANDERSEN FAMILY DENTISTRY PC
Practice address
186 Main St
Littleton, NH 03561-4014
Phone
(603) 444-6811
Fax
(603) 444-7052
NPI assigned
Jan 6, 2010
Last updated
Jan 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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

Authorized official

Name
Mr. Robert Jorgen Andersen
Title
Office Manager
Phone
(603) 444-6811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NH03157 NH Primary

Addresses

Primary practice location

186 Main St
Littleton, NH 03561-4014

Mailing address

186 Main St
Littleton, NH 03561-4014
Phone (603) 444-6811

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1568792091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 MAIN ST",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "035614014",
            "telephone_number": "603-444-6811",
            "fax_number": "603-444-7052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 MAIN ST",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "035614014",
            "telephone_number": "603-444-6811",
            "fax_number": "603-444-7052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSEN FAMILY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JORGEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "603-444-6811",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "NH03157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; 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.