Organization Active NPI

Locust Street Dental

  • General Practice Dentistry
  • Dover, NH
National Provider Identifier
1588877443
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3180NH Issued in NH
Legal business name
LOCUST STREET DENTAL
Practice address
303 Locust Street
Dover, NH 03820
Phone
(603) 749-2424
NPI assigned
May 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Cheryl Ann Boyd, DMDNPI 1891703153
Title
Dentist
Phone
(603) 749-2424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3180NH NH Primary

Addresses

Primary practice location

303 Locust Street
Dover, NH 03820

Mailing address

303 Locust Street
Dover, NH 03820
Phone (603) 749-2424

Other identifiers 2

IdentifierTypeStateIssuer
30312259MedicaidNH
30302260MedicaidNH

National Provider Directory

National Provider Directory

Locations

303 Locust St
Dover, NH 03820
Phone (603) 749-2424

Practitioners & affiliated clinicians

Practitioners 1

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": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588877443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 LOCUST STREET",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "03820",
            "telephone_number": "603-749-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 LOCUST STREET",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "03820",
            "telephone_number": "603-749-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOCUST STREET DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "603-749-2424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "3180NH",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30312259",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30302260",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.