Individual provider Active NPI

Mary E Daly, DO

  • Family Medicine Physician
  • Bedford, NH
National Provider Identifier
1689654980
Registry record updated Jul 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14064 Issued in NH
Practice address
25 S River Rd
Bedford, NH 03110-6708
Phone
(603) 695-2572
NPI assigned
Jan 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 14064 NH Primary

Addresses

Primary practice location

25 S River Rd
Bedford, NH 03110-6708

Mailing address

25 S River Rd
Bedford, NH 03110-6708
Phone (603) 695-2572

Other identifiers 1

IdentifierTypeStateIssuer
358657000MedicaidMN

Other names 1

  • Mary E Daly Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
14064NHMDFamily Medicine Physician
1990MEMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dartmouth-Hitchcock Clinic Family Medicine CurrentSince Aug 4, 2008 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Aug 4, 2008 Accepting new patients
Alliance Health Services Family Medicine CurrentSince Aug 4, 2008 Accepting new patients
Mayo Clinic Past Accepting new patients
DH Family Medicine Nashua Inc Family Medicine Past Accepting new patients

Locations

25 S River Rd
Bedford, NH 03110
Phone (603) 626-4392

253 Pleasant St
Concord, NH 03301
Phone (603) 226-2200

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

2300 Southwood Dr
Nashua, NH 03063
Phone (603) 577-4170

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311292800000",
    "number": "1689654980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 S RIVER RD",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106708",
            "telephone_number": "603-695-2572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 S RIVER RD",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106708",
            "telephone_number": "603-695-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALY",
        "first_name": "MARY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-20",
        "last_updated": "2011-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "14064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "358657000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "DALY",
            "middle_name": "E",
            "credential": "DO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bedford, NH

Sources for this page

Verify at the official NPI Registry.