Active NPI
Lisa J. King
- Dental Hygienist
- Manchester, NH
National Provider Identifier
1609267244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 01619
- Practice address
- 718 Smyth Rd.
VA Medical Center Dental Service 160
Manchester, NH 03104 - Phone
- (603) 624-4366
- NPI assigned
- Feb 17, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 01619 | NH | Primary |
Addresses
Primary practice location
718 Smyth Rd.
VA Medical Center Dental Service 160
Manchester, NH 03104
Mailing address
718 Smyth Rd.
VA Medical Center Dental Service 160
Manchester, NH 03104
Phone (603) 624-4366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01619 | NH | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424131200000",
"number": "1609267244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 SMYTH RD.",
"address_2": "VA MEDICAL CENTER DENTAL SERVICE 160",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "03104",
"telephone_number": "603-624-4366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 SMYTH RD.",
"address_2": "VA MEDICAL CENTER DENTAL SERVICE 160",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "03104",
"telephone_number": "603-624-4366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "LISA",
"middle_name": "J.",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-17",
"last_updated": "2015-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NH",
"license": "01619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.