NPIMap

Organization Active NPI

Roger Lamontagne DMD

  • General Practice Dentistry
  • Manchester, NH
National Provider Identifier
1942474374
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2106 Issued in NH
Legal business name
ROGER LAMONTAGNE DMD
Practice address
252 Jewett St
Manchester, NH 03103-2823
Phone
(603) 622-7973
Fax
(603) 666-0613
NPI assigned
Apr 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Authorized official

Name
Dr. Roger Lamontagne, DMDNPI 1497834774
Title
Owner/Dentist
Phone
(603) 622-7973

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2106 NH Primary

Addresses

Primary practice location

252 Jewett St
Manchester, NH 03103-2823

Mailing address

252 Jewett St
Manchester, NH 03103-2823
Phone (603) 622-7973

Other identifiers 1

IdentifierTypeStateIssuer
30004874MedicaidNH

Other names 1

  • Family Dentistry Other name

National Provider Directory

National Provider Directory

Locations

252 Jewett St
Manchester, NH 03103
Phone (603) 622-7973

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1942474374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 JEWETT ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031032823",
            "telephone_number": "603-622-7973",
            "fax_number": "603-666-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 JEWETT ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031032823",
            "telephone_number": "603-622-7973",
            "fax_number": "603-666-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER LAMONTAGNE DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "LAMONTAGNE",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "603-622-7973",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "2106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004874",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 4, 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.