Active NPI
Nathan Thomas O'Neill, DMD
- Dentist
- Antrim, NH
National Provider Identifier
1730600701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 04313
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171121000339 | NH | Order and Referring Only - Dentist | 0840557211 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04313 | NH | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Practice Dentistry
- Antrim, NH
- NPI 1942359260
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.