Individual provider Active NPI

Tracy L Bill, RDH

  • Dental Hygienist
  • Lebanon, NH
National Provider Identifier
1851473029
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
2593 Issued in NH
Practice address
1 Court St Ste 270
Lebanon, NH 03766-6313
Phone
(603) 448-1830
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 2593 NH Primary

Addresses

Primary practice location

1 Court St Ste 270
Lebanon, NH 03766-6313

Mailing address

28 Mountain View Dr
Enfield, NH 03748-3643
Phone (603) 689-8646

Other identifiers 1

IdentifierTypeStateIssuer
2593OtherNHRDH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2593NHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Osofsky D.D.S. & Sabatelle, Jr. D.M.D Past Accepting new patients
42 North Dental Care, PLLC PastSince Jul 12, 2020 Accepting new patients

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851473029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 MOUNTAIN VIEW DR",
            "city": "ENFIELD",
            "state": "NH",
            "postal_code": "037483643",
            "telephone_number": "603-689-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COURT ST STE 270",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037666313",
            "telephone_number": "603-448-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILL",
        "first_name": "TRACY",
        "middle_name": "L",
        "name_prefix": "Miss",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NH",
            "license": "2593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RDH",
            "identifier": "2593",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

  • 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.