Ocean Shades Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

03618 Issued in NH

Legal business name

OCEAN SHADES DENTAL

Practice address

230 Lafayette Rd Ste C
Portsmouth, NH 03801-5465

Phone

(603) 436-7325

NPI assigned

Oct 3, 2007

Organization subpart

No

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

Authorized official

Name

Alan Pan, DMD

Title

Dentist /Owner

Phone

(617) 834-3956

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Paul Kelleher, D.M.D.

  • General Practice Dentistry
  • Portsmouth, NH
  • NPI 1578566568
  NPD (past)

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1851589899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 LAFAYETTE RD STE C",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015465",
            "telephone_number": "603-436-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 LAFAYETTE RD STE C",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015465",
            "telephone_number": "603-436-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN SHADES DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "PAN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "DENTIST /OWNER",
        "authorized_official_telephone_number": "617-834-3956",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "03618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret M O'Neil, PT
• Stephanie Rose O'Neil
• Stephanie O'Shaughnessy, LICSW
• Emma Obrien
• Occupational Health Services of Portsmouth Regional Hospital, LLC
• Monica Lynne Odor, NP-C
• Ori Offenbach Ofek, MD
• Christine Haeyoung Oh
• Oi Infusion Services LLC
• Olufunmilola Jasmine Olatilu

• General Practice Dentistry in Portsmouth, NH
• Providers in Portsmouth, 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 Oct 3, 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.