NPIMap

Organization Active NPI

Abenaki Dental Care

  • Dental Clinic/Center
  • Exeter, NH
National Provider Identifier
1730338229
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3407 Issued in NH
Legal business name
ABENAKI DENTAL CARE
Practice address
1 Hampton Rd
Suite 305
Exeter, NH 03833-4848
Phone
(603) 583-4533
Fax
(603) 583-4507
NPI assigned
Sep 9, 2008
Last updated
Sep 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Authorized official

Name
Dr. Matthew Scott Heimbach, DMDNPI 1730258641
Title
Dentist
Phone
(603) 583-4533

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
Dental Clinic/Center 261QD0000X 3407 NH Primary

Addresses

Primary practice location

1 Hampton Rd
Suite 305
Exeter, NH 03833-4848

Mailing address

1 Hampton Rd
Suite 305
Exeter, NH 03833-4848
Phone (603) 583-4533

National Provider Directory

National Provider Directory

Locations

1 Hampton Rd
Unit 305
Exeter, NH 03833
Phone (603) 583-4533

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1730338229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HAMPTON RD",
            "address_2": "SUITE 305",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038334848",
            "telephone_number": "603-583-4533",
            "fax_number": "603-583-4507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HAMPTON RD",
            "address_2": "SUITE 305",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038334848",
            "telephone_number": "603-583-4533",
            "fax_number": "603-583-4507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABENAKI DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "HEIMBACH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "603-583-4533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NH",
            "license": "3407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exeter, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.