Active NPI
Robert Fromuth, D.D.S.
- General Practice Dentistry
- Manchester, NH
National Provider Identifier
1902219215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 04072
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 04072 | NH | MD | General Practice Dentistry |
| DS039866 | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert C. Fromuth DDS PLLC | Past | Accepting new patients | |
| Daniel S Haley DMD PLLC | General Practice | Past | 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.
-
dba Fromuth and Langlois Dental
- Dental Clinic/Center
- Manchester, NH
- NPI 1467960880
-
- General Practice Dentistry
- Concord, NH
- NPI 1205180759
-
- General Practice Dentistry
- Concord, NH
- NPI 1689360315
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.