Bay Street Family Dental

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BAY STREET FAMILY DENTAL

Practice address

33 Bay Street
Manchester, NH 03104

Phone

(603) 624-1342

Fax

(603) 668-1727

NPI assigned

Sep 22, 2023

Last updated

Sep 22, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Emani S Domingo, DMD

Title

Owner/Dentist

Phone

(603) 624-1342

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Ernani S Domingo, DMD

  • Dentist
  • Manchester, NH
  • NPI 1477668028
  NPD (past)

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1730968454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 BAY STREET",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "03104",
            "telephone_number": "603-624-1342",
            "fax_number": "603-668-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 BAY STREET",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "03104",
            "telephone_number": "603-624-1342",
            "fax_number": "603-668-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY STREET FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "DOMINGO",
        "authorized_official_first_name": "EMANI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "603-624-1342",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Baudanza, MA
• Alexandria Bauer
• William Alexander Bauer, BA
• William Gregory Baxter, MD
• Bay Medical Associates, P.a.
• Bayada Home Health Care, Inc.
• Simone Marjorie Bazile, PMHNP
• Bazzani Chiropractic Manchester, LLC
• Rianna Bazzinotti, LICSW
• Beacon Residential Services LLC

• Dentist in Manchester, NH
• Providers in Manchester, NH by specialty
• Dentist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.