Individual provider Active NPI

Rachel Jane Polgrean, D.D.S., M.S.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Londonderry, NH
National Provider Identifier
1982850574
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
03151 Issued in NH
Practice address
77 Gilcreast Rd
Suite 3000
Londonderry, NH 03053-3518
Phone
(603) 434-0190
Fax
(603) 421-9550
NPI assigned
Aug 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 03151 NH Primary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DDS41208 CA

Addresses

Primary practice location

77 Gilcreast Rd
Suite 3000
Londonderry, NH 03053-3518

Mailing address

77 Gilcreast Rd
Suite 3000
Londonderry, NH 03053-3518
Phone (603) 434-0190

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DDS41208CAMDOrthodontics and Dentofacial Orthopedic Dentist
03151NHMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Apple Tree Orthodontics, P.a. Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218672000000",
    "number": "1982850574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 GILCREAST RD",
            "address_2": "SUITE 3000",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533518",
            "telephone_number": "603-434-0190",
            "fax_number": "603-421-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 GILCREAST RD",
            "address_2": "SUITE 3000",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533518",
            "telephone_number": "603-434-0190",
            "fax_number": "603-421-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLGREAN",
        "first_name": "RACHEL",
        "middle_name": "JANE",
        "credential": "D.D.S., M.S.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NH",
            "license": "03151",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "DDS41208",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Londonderry, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.