Alyssa Jane Beach Hennessy, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

04958 Issued in NH

Practice address

24 Main St Unit 3
Union, NH 03887-4420

Phone

(207) 475-7443

NPI assigned

May 29, 2019

Last updated

Apr 17, 2024By the provider in NPPES

Sex

Female

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

Locations

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.

• Pearls Family Dentistry, PLLC

  • Dental Clinic/Center
  • Union, NH
  • NPI 1811740640
  NPD Authorized official
• William W Dreyerdmd PA

  • General Practice Dentistry
  • Fryeburg, ME
  • NPI 1982726592
  NPD (past)

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1801454525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MAIN ST UNIT 3",
            "city": "UNION",
            "state": "NH",
            "postal_code": "038874420",
            "telephone_number": "207-475-7443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 MAIN ST UNIT 3",
            "city": "UNION",
            "state": "NH",
            "postal_code": "038874420",
            "telephone_number": "207-475-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNESSY",
        "first_name": "ALYSSA",
        "middle_name": "JANE BEACH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-29",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "DEN7411",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "04958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Joseph Guarnaccia, MSW
• Homeward Bound
• Curtis Kaye, DPT, PT
• Melissa Lebrun
• Milton School District
• Timothy Wyckoff Nix, PT

• General Practice Dentistry in Union, NH
• Providers in Union, NH by specialty
• General Practice Dentistry in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.