Active NPI
Dental Arts of Bedford
- Dentist
- Bedford, NH
National Provider Identifier
1629303086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3118
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30314423 | Medicaid | NH |
Other names 1
- Birchcroft Family Dental PC
National Provider Directory
National Provider DirectoryNPI 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.