Individual provider Active NPI

Robert Fromuth, D.D.S.

  • General Practice Dentistry
  • Manchester, NH
National Provider Identifier
1902219215
Registry record updated Jan 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
04072 Issued in NH
Practice address
765 S Main St Ste 102
Manchester, NH 03102-5141
Phone
(603) 644-3368
NPI assigned
Jun 4, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS039866 PA
General Practice Dentistry 1223G0001X 04072 NH Primary

Addresses

Primary practice location

765 S Main St Ste 102
Manchester, NH 03102-5141

Mailing address

765 S Main St Ste 102
Manchester, NH 03102-5141
Phone (603) 644-3368

Other practice location 1

5 Chenell Dr
Concord, NH 03301-8503
Phone (603) 224-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jun 16, 2016 through Jun 16, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
04072NHMDGeneral Practice Dentistry
DS039866PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Robert C. Fromuth DDS PLLC Past Accepting new patients
Daniel S Haley DMD PLLC General Practice PastSince Apr 16, 2023 Accepting new patients
Anthony J Ladds DDS PLLC General Practice Past Accepting new patients
Stephen Lee Langlois Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516320000000",
    "number": "1902219215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 S MAIN ST STE 102",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031025141",
            "telephone_number": "603-644-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 S MAIN ST STE 102",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031025141",
            "telephone_number": "603-644-3368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Chenell Dr",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033018503",
            "country_code": "US",
            "telephone_number": "603-224-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FROMUTH",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-04",
        "last_updated": "2018-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS039866",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "04072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.