NPIMap

Organization Active NPI

Monadnock Dental Associates PLLC

  • Dentist
  • Jaffrey, NH
National Provider Identifier
1912176744
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MONADNOCK DENTAL ASSOCIATES PLLC
Practice address
123 Main Street
Jaffrey, NH 03452
Phone
(603) 532-8720
Fax
(603) 532-5618
NPI assigned
Feb 26, 2008
Last updated
Mar 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Authorized official

Name
Mr. Zane Tyler Broome, DDSNPI 1235282096
Title
Owner Dentist
Phone
(603) 532-8720

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

123 Main Street
Jaffrey, NH 03452

Mailing address

123 Main Street
Jaffrey, NH 03452
Phone (603) 532-8720

National Provider Directory

National Provider Directory

Locations

123 Main St
Jaffrey, NH 03452
Phone (603) 532-8720

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1912176744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 MAIN STREET",
            "city": "JAFFREY",
            "state": "NH",
            "postal_code": "03452",
            "telephone_number": "603-532-8720",
            "fax_number": "603-532-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 MAIN STREET",
            "city": "JAFFREY",
            "state": "NH",
            "postal_code": "03452",
            "telephone_number": "603-532-8720",
            "fax_number": "603-532-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONADNOCK DENTAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "BROOME",
        "authorized_official_first_name": "ZANE",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "603-532-8720",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jaffrey, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.