NPIMap

Individual provider Active NPI

Manal Mahdi Elfahal, DMD

  • General Practice Dentistry
  • Allenstown, NH
National Provider Identifier
1679797526
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3321 Issued in NH
Practice address
50 Pinewood Rd
Allenstown, NH 03275-2366
Phone
(603) 485-8464
Fax
(603) 485-4884
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3321 NH Primary

Addresses

Primary practice location

50 Pinewood Rd
Allenstown, NH 03275-2366

Mailing address

PO Box 165
Suncook, NH 03275-0165
Phone (603) 485-8464

Other identifiers 1

IdentifierTypeStateIssuer
30304170MedicaidNH

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

LicenseStateTypeSpecialty
3321NHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Amazing Family Dental PLLC Current Accepting new patients
Fredrick M. Vega, D.D.S., P.C. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1679797526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 165",
            "city": "SUNCOOK",
            "state": "NH",
            "postal_code": "032750165",
            "telephone_number": "603-485-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 PINEWOOD RD",
            "city": "ALLENSTOWN",
            "state": "NH",
            "postal_code": "032752366",
            "telephone_number": "603-485-8464",
            "fax_number": "603-485-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELFAHAL",
        "first_name": "MANAL",
        "middle_name": "MAHDI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "3321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30304170",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allenstown, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.