David Daniel Anzel, D.D.S.

Key facts

NPI

1598043986

Entity type

Individual (NPI type 1)

Primary specialty

Prosthodontics 1223P0700X

License

NH 2573 (NH)

Practice address

602 Riverway PL Ste a
Bedford Commons
Bedford, NH 03110-6752

Phone

(603) 634-0055

NPI assigned

Aug 2, 2011

Sex

Male

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 2, 2011.

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312243200000",
    "number": "1598043986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 RIVERWAY PL STE A",
            "address_2": "BEDFORD COMMONS",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106752",
            "telephone_number": "603-634-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 RIVERWAY PL STE A",
            "address_2": "BEDFORD COMMONS",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106752",
            "telephone_number": "603-634-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANZEL",
        "first_name": "DAVID",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-02",
        "last_updated": "2011-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NH",
            "license": "NH 2573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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