NPIMap

Organization Active NPI

New Hampshire Dental Society Foundation, Inc.

  • Dentist
  • Concord, NH
National Provider Identifier
1750587168
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
NEW HAMPSHIRE DENTAL SOCIETY FOUNDATION, INC.
Practice address
23 S State St
Concord, NH 03301-3721
Phone
(603) 225-5961
Fax
(603) 226-4880
NPI assigned
Jun 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. James J Williamson
Title
Secretary Treasurer
Phone
(603) 225-5961

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

23 S State St
Concord, NH 03301-3721

Mailing address

23 S State St
Concord, NH 03301-3721
Phone (603) 225-5961

Other identifiers 1

IdentifierTypeStateIssuer
30532844MedicaidNH

National Provider Directory

National Provider Directory

Locations

23 S State St
Concord, NH 03301
Phone (603) 225-5961

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750587168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 S STATE ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013721",
            "telephone_number": "603-225-5961",
            "fax_number": "603-226-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 S STATE ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013721",
            "telephone_number": "603-225-5961",
            "fax_number": "603-226-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HAMPSHIRE DENTAL SOCIETY FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SECRETARY TREASURER",
        "authorized_official_telephone_number": "603-225-5961",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30532844",
            "state": "NH"
        }
    ],
    "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 Aug 22, 2020; 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.