Roland R Bryan DMD PC

Primary specialty

DentistTaxonomy code 122300000X

License

2516 Issued in NH

Legal business name

ROLAND R BRYAN DMD PC

Practice address

769 South Main St
Suite 100
Munchester, NH 03102

Phone

(603) 623-3800

Fax

(603) 623-7867

NPI assigned

Jan 31, 2008

Last updated

Jan 31, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roland R Bryan, DMDNPI 1952529380

Title

Periodontist

Phone

(603) 623-3800

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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.

• Roland R Bryan, DMD

  • Periodontics
  • Manchester, NH
  • NPI 1952529380
  NPD (past) Authorized official

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1942488036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "769 SOUTH MAIN ST",
            "address_2": "SUITE 100",
            "city": "MUNCHESTER",
            "state": "NH",
            "postal_code": "03102",
            "telephone_number": "603-623-3800",
            "fax_number": "603-623-7867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "769 SOUTH MAIN ST",
            "address_2": "SUITE 100",
            "city": "MUNCHESTER",
            "state": "NH",
            "postal_code": "03102",
            "telephone_number": "603-623-3800",
            "fax_number": "603-623-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLAND R BRYAN DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "603-623-3800",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NH",
            "license": "2516",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NH",
            "license": "2516",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.