Organization Active NPI

Salem Centre for Orthodontics, Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Salem, NH
National Provider Identifier
1720113640
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
1509 Issued in NH
Legal business name
SALEM CENTRE FOR ORTHODONTICS, INC.
Practice address
32 Stiles Rd
Suite 211
Salem, NH 03079-2892
Phone
(603) 898-4722
Fax
(603) 898-4966
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Manuel Joseph Sousa, D.D.S.NPI 1437284346
Title
President
Phone
(603) 898-4722

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 1509 NH Primary

Addresses

Primary practice location

32 Stiles Rd
Suite 211
Salem, NH 03079-2892

Mailing address

32 Stiles Rd
Suite 211
Salem, NH 03079-2892
Phone (603) 898-4722

National Provider Directory

National Provider Directory

Locations

32 Stiles Rd
Ste 211
Salem, NH 03079
Phone (603) 898-4722

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720113640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 STILES RD",
            "address_2": "SUITE 211",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792892",
            "telephone_number": "603-898-4722",
            "fax_number": "603-898-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 STILES RD",
            "address_2": "SUITE 211",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792892",
            "telephone_number": "603-898-4722",
            "fax_number": "603-898-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM CENTRE FOR ORTHODONTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOUSA",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-898-4722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NH",
            "license": "1509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.