Organization Active NPI

Dental Arts of Bedford

  • Dentist
  • Bedford, NH
National Provider Identifier
1629303086
Registry record updated Jul 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3118 Issued in NH
Legal business name
DENTAL ARTS OF BEDFORD
Practice address
40 S River Rd
Bedford Place Unit #33
Bedford, NH 03110-6719
Phone
(603) 647-2278
Fax
(603) 622-1616
NPI assigned
Oct 2, 2009
Last updated
Jul 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2010

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

Authorized official

Name
Mrs. Lori J Rolke
Title
Office Manager
Phone
(603) 647-2278

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3118 NH Primary
General Practice Dentistry 1223G0001X 3535 NH

Addresses

Primary practice location

40 S River Rd
Bedford Place Unit #33
Bedford, NH 03110-6719

Mailing address

40 S River Rd
Bedford Place Unit #33
Bedford, NH 03110-6719
Phone (603) 647-2278

Other identifiers 1

IdentifierTypeStateIssuer
30314423MedicaidNH

Other names 1

  • Birchcroft Family Dental PC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1629303086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 S RIVER RD",
            "address_2": "BEDFORD PLACE UNIT #33",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106719",
            "telephone_number": "603-647-2278",
            "fax_number": "603-622-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 S RIVER RD",
            "address_2": "BEDFORD PLACE UNIT #33",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106719",
            "telephone_number": "603-647-2278",
            "fax_number": "603-622-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ARTS OF BEDFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-02",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "ROLKE",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "603-647-2278",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NH",
            "license": "3118",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "3535",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30314423",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Birchcroft Family Dental PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bedford, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; 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.