Individual provider Active NPI

Jonathan Edward Norris, DDS

  • Pediatric Dentistry
  • Keene, NH
National Provider Identifier
1831415249
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
4218 Issued in NH
Practice address
165 Winchester St
Keene, NH 03431-4634
Phone
(603) 354-3895
NPI assigned
Apr 9, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 4218 NH Primary

Addresses

Primary practice location

165 Winchester St
Keene, NH 03431-4634

Mailing address

340 West St
Keene, NH 03431-2446
Phone (603) 354-3895

Other practice location 1

92 South St
Claremont, NH 03743-3180
Phone (603) 543-0455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200924001435 VT Order and Referring Only - Other (Non-Physician) 2163841172

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4218NHMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Montshire Pediatric Dentistry, PC Pediatric Dentistry Current Accepting new patients
Montshire Henniker PC Pediatric Dentistry Current Accepting new patients

Locations

165 Winchester St
Keene, NH 03431
Phone (603) 354-3895

340 West St
Keene, NH 03431
Phone (603) 352-1913

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1831415249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 WEST ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034312446",
            "telephone_number": "603-354-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 WINCHESTER ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034314634",
            "telephone_number": "603-354-3895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "92 South St",
            "address_purpose": "LOCATION",
            "city": "Claremont",
            "state": "NH",
            "postal_code": "037433180",
            "country_code": "US",
            "telephone_number": "603-543-0455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "JONATHAN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-09",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NH",
            "license": "4218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keene, NH

Sources for this page

Verify at the official NPI Registry.