Individual provider Active NPI

Robert Moran Maguire, DDS

  • General Practice Dentistry
  • Wolfeboro, NH
National Provider Identifier
1598829871
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2071 Issued in NH
Practice address
376 N Main St
Wolfeboro, NH 03894-4312
Phone
(603) 569-1140
Fax
(603) 569-7793
NPI assigned
Dec 20, 2006
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 2071 NH Primary

Addresses

Primary practice location

376 N Main St
Wolfeboro, NH 03894-4312

Mailing address

376 N Main St
Wolfeboro, NH 03894-4312
Phone (603) 569-1140

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
I20160608002398 NH Order and Referring Only - DentistPractitioner - Dentist 0446540132

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598829871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 N MAIN ST",
            "city": "WOLFEBORO",
            "state": "NH",
            "postal_code": "038944312",
            "telephone_number": "603-569-1140",
            "fax_number": "603-569-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 N MAIN ST",
            "city": "WOLFEBORO",
            "state": "NH",
            "postal_code": "038944312",
            "telephone_number": "603-569-1140",
            "fax_number": "603-569-7793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGUIRE",
        "first_name": "ROBERT",
        "middle_name": "MORAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "2071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wolfeboro, NH

Sources for this page

Verify at the official NPI Registry.