Samantha Kaitlyn Domenichello, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

Practice address

24 Rochester Rd
Northwood, NH 03261-3519

Phone

(603) 942-8000

NPI assigned

Aug 13, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Meyer Cranio Facial Imaging & Treatment Center LLC

  • Pain Clinic/Center
  • Northwood, NH
  • NPI 1558757062
  NPD (past)
• Meyer Family Dentistry

  • General Practice Dentistry
  • Northwood, NH
  • NPI 1306060025
  NPD (past)

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1750992525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 DURGIN RD",
            "city": "CHICHESTER",
            "state": "NH",
            "postal_code": "032586300",
            "telephone_number": "603-630-8691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 ROCHESTER RD",
            "city": "NORTHWOOD",
            "state": "NH",
            "postal_code": "032613519",
            "telephone_number": "603-942-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMENICHELLO",
        "first_name": "SAMANTHA",
        "middle_name": "KAITLYN",
        "name_prefix": "Ms.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hannaford Bros Co LLC

• Dental Hygienist in Northwood, NH
• Providers in Northwood, NH by specialty
• Dental Hygienist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.