Active NPI
Paul L Jane, D.D.S.
- General Practice Dentistry
- Peterborough, NH
National Provider Identifier
1639180664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1250
- Practice address
- 21 Grove St
Peterborough, NH 03458-1424 - Phone
- (603) 924-3664
- Fax
- (603) 924-3276
- NPI assigned
- Aug 11, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1250 | NH | Primary |
Addresses
Primary practice location
21 Grove St
Peterborough, NH 03458-1424
Mailing address
21 Grove St
Peterborough, NH 03458-1424
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 99001669 | Medicaid | NH | |
| 1250 | Other | NH | STATE LISCENSE NUMBER |
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 |
|---|---|---|---|
| 1250 | NH | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul L Jane DDS, David a Hedstrom DDS, Jasper Ainslie DDS, PA | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Peterborough, NH
- NPI 1033121090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1639180664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 GROVE ST",
"city": "PETERBOROUGH",
"state": "NH",
"postal_code": "034581424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 GROVE ST",
"city": "PETERBOROUGH",
"state": "NH",
"postal_code": "034581424",
"telephone_number": "603-924-3664",
"fax_number": "603-924-3276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANE",
"first_name": "PAUL",
"middle_name": "L",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NH",
"license": "1250",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "99001669",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LISCENSE NUMBER",
"identifier": "1250",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Peterborough, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.