Individual provider Active NPI

Nathan Thomas O'Neill, DMD

  • Dentist
  • Antrim, NH
National Provider Identifier
1730600701
Registry record updated Jun 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
04313 Issued in NH
Practice address
18 Elm Street
Antrim, NH 03440
Phone
(603) 547-4059
Fax
(603) 588-8039
NPI assigned
Jun 29, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 04313 NH Primary

Addresses

Primary practice location

18 Elm Street
Antrim, NH 03440

Mailing address

PO Box 446
18 Elm Street
Antrim, NH 03440
Phone (603) 547-4059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171121000339 NH Order and Referring Only - DentistPractitioner - Dentist 0840557211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04313NHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
G a Perry DDS PA 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.

NPI Registry JSON

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498694400000",
    "number": "1730600701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 446",
            "address_2": "18 ELM STREET",
            "city": "ANTRIM",
            "state": "NH",
            "postal_code": "03440",
            "telephone_number": "603-547-4059",
            "fax_number": "603-588-8039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 ELM STREET",
            "city": "ANTRIM",
            "state": "NH",
            "postal_code": "03440",
            "telephone_number": "603-547-4059",
            "fax_number": "603-588-8039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "NATHAN",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-29",
        "last_updated": "2017-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NH",
            "license": "04313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antrim, NH

Sources for this page

Verify at the official NPI Registry.