Nicholas Kanelos Jr., DMD

Primary specialty

DentistTaxonomy code 122300000X

License

2659 Issued in NH

Practice address

801 Central Ave
Dover, NH 03820

Phone

(603) 742-8844

Fax

(603) 749-8882

NPI assigned

Aug 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• David B Staples DDS & Nicholas Kanelos Jr DMD

  • General Practice Dentistry
  • Dover, NH
  • NPI 1235153909
  Authorized official Same address or phone
• Garrison Dental Group, PLLC

  dba Garrison Family Dental

  • Dental Clinic/Center
  • Dover, NH
  • NPI 1497414700
  NPD

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750394490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ALDER CREEK LN",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "03867",
            "telephone_number": "603-332-9940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "03820",
            "telephone_number": "603-742-8844",
            "fax_number": "603-749-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANELOS",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NH",
            "license": "2659",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "18616",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Kaiser, DO
• Marriah C Kalil, LMFT
• Anne Hosley Kalter, MD
• Caroline Kamau, APRN
• Toni Kane
• Lucy Harn Kapur, MD
• Sonya Anne Kara, PHARMD, RPH
• Robert S Karelitz, DDS
• Ghaleb M Karouni, MD
• Joseph E Kasabian, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.