Active NPI
Alexander Joseph Maal, DDS
- General Practice Dentistry
- Concord, NH
National Provider Identifier
1740981414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 04833
- Practice address
- 75 Clinton St
Concord, NH 03301-2310 - Phone
- (603) 686-8013
- NPI assigned
- Mar 10, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN1860053 | MA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 04833 | NH | Primary |
Addresses
Primary practice location
75 Clinton St
Concord, NH 03301-2310
Mailing address
64 Kodiak Way
Manchester, NH 03109-5548
Phone (603) 508-9967
Other practice location 1
22 Alpine Ln
Chelmsford, MA 01824-2774
Phone (978) 254-6263
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1860053 | MA | MD | General Practice Dentistry |
| 04833 | NH | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703030400000",
"number": "1740981414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 KODIAK WAY",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031095548",
"telephone_number": "603-508-9967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 CLINTON ST",
"city": "CONCORD",
"state": "NH",
"postal_code": "033012310",
"telephone_number": "603-686-8013"
}
],
"practiceLocations": [
{
"address_1": "22 Alpine Ln",
"address_purpose": "LOCATION",
"city": "Chelmsford",
"state": "MA",
"postal_code": "018242774",
"country_code": "US",
"telephone_number": "978-254-6263",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAAL",
"first_name": "ALEXANDER",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-10",
"last_updated": "2023-12-20",
"certification_date": "2023-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "DN1860053",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NH",
"license": "04833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.