1144386210 NPI number — MR. RICHARD B. DANKS MSW

Table of content: (NPI 1033372198)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144386210 NPI number — MR. RICHARD B. DANKS MSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DANKS
Provider First Name:
RICHARD
Provider Middle Name:
B.
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
MSW
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144386210
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6 ROCKRIMMON RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORTH HAMPTON
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03862-2338
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-617-1003
Provider Business Mailing Address Fax Number:
603-964-4188

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 PARK AVE
Provider Second Line Business Practice Location Address:
SUITE 6G
Provider Business Practice Location Address City Name:
HAMPTON
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03842-2113
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-617-1003
Provider Business Practice Location Address Fax Number:
603-964-4188
Provider Enumeration Date:
12/30/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  100625 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: 113 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 046844 . This is a "BLUE CROSSBLUE SHIELD PPO" identifier , issued by the state of ( ME ) . This identifiers is of the category "OTHER".
  • Identifier: 14Z046844NH . This is a "BLUE CROSSBLUE SHIELD PPO" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 58589 . This is a "UNITED BEHAVIORAL HEALTH" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 204975 . This is a "VALUEOPTIONS" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 30007736 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 5380733 . This is a "AETNA INSURANCE CO." identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".




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