Active NPI
Jeffrey Stephen Forgosh, DMD
- Periodontics
- Concord, NH
National Provider Identifier
1942460100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 1405
- Practice address
- 280 Pleasant Street
Concord, NH 03301 - Phone
- (603) 228-1191
- Fax
- (603) 228-1317
- NPI assigned
- Jun 11, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 1405 | NH | Primary |
Addresses
Primary practice location
280 Pleasant Street
Concord, NH 03301
Mailing address
280 Pleasant Street
Concord, NH 03301
Phone (603) 228-1191
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213142400000",
"number": "1942460100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 PLEASANT STREET",
"city": "CONCORD",
"state": "NH",
"postal_code": "03301",
"telephone_number": "603-228-1191",
"fax_number": "603-228-1317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 PLEASANT STREET",
"city": "CONCORD",
"state": "NH",
"postal_code": "03301",
"telephone_number": "603-228-1191",
"fax_number": "603-228-1317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORGOSH",
"first_name": "JEFFREY",
"middle_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-11",
"last_updated": "2008-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NH",
"license": "1405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.