Organization Active NPI

Bayside Dental

  • Preferred Provider Organization
  • Alton, NH
National Provider Identifier
1609123140
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
03588 Issued in NH
Legal business name
BAYSIDE DENTAL
Practice address
291 Main St.
Alton, NH 03809
Phone
(603) 855-2017
NPI assigned
Aug 14, 2012
Last updated
Aug 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Authorized official

Name
Viena Posada
Title
Dentist
Phone
(603) 855-2017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 03588 NH Primary

Addresses

Primary practice location

291 Main St.
Alton, NH 03809

Mailing address

PO Box 670
Alton, NH 03809-0670

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1609123140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670",
            "city": "ALTON",
            "state": "NH",
            "postal_code": "038090670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 MAIN ST.",
            "city": "ALTON",
            "state": "NH",
            "postal_code": "03809",
            "telephone_number": "603-855-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "POSADA",
        "authorized_official_first_name": "VIENA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "603-855-2017"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NH",
            "license": "03588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alton, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.