Organization Active NPI

Robert T. Nicoll, III

  • General Practice Dentistry
  • Exeter, NH
National Provider Identifier
1992967111
Registry record updated Jun 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
NH1094 Issued in NH
Legal business name
ROBERT T. NICOLL, III
Practice address
14 Hampton Rd
Exeter, NH 03833-4808
Phone
(603) 778-9630
Fax
(603) 778-8446
NPI assigned
Jun 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2008

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

Authorized official

Name
Robert T. Nicoll, DDS
Title
Owner
Phone
(603) 778-9630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X NH1094 NH Primary

Addresses

Primary practice location

14 Hampton Rd
Exeter, NH 03833-4808

Mailing address

14 Hampton Rd
Exeter, NH 03833-4808
Phone (603) 778-9630

Other identifiers 1

IdentifierTypeStateIssuer
89191531MedicaidNH

Other names 1

  • Robert T. Nicoll, DDS Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1214697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214697600000",
    "number": "1992967111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 HAMPTON RD",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038334808",
            "telephone_number": "603-778-9630",
            "fax_number": "603-778-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 HAMPTON RD",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038334808",
            "telephone_number": "603-778-9630",
            "fax_number": "603-778-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT T. NICOLL, III",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-29",
        "last_updated": "2008-06-29",
        "status": "A",
        "authorized_official_last_name": "NICOLL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-778-9630",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "NH1094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89191531",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert T. Nicoll, DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Exeter, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.