WENTWORTH DOUGLASS PHYSICIAN CORPORATION
NPI 1336751825
Registered Nurse - Diabetes Educator in Dover, NH

Q: What is Wentworth Douglass Physician Corporation's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Diabetes Educator, with taxonomy code 163WD0400X.

Active since August 18, 2020

10 MEMBERS WAY FL 5, DOVER, NH 03820(603) 609-6800 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 17, 2025, Feb 21, 2025, Apr 29, 2021 and 1 more (4 updates tracked since 2020).

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About Wentworth Douglass Physician Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WENTWORTH DOUGLASS PHYSICIAN CORPORATION (NPI 1336751825) is a healthcare organization registered as a diabetes educator in Dover, New Hampshire and active in the NPI registry since August 2020. The organization maintains 4 additional practice locations and lists Joel Degenaars, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1336751825

Entity TypeOrganization

Primary Taxonomy163WD0400X

Legal Business NameWENTWORTH DOUGLASS PHYSICIAN CORPORATION

Location Address10 MEMBERS WAY FL 5Dover, NH 03820-5933

Mailing AddressPo Box 412503Boston, MA 02241-2503

Phone(603) 609-6800

Organization SubpartNo

Authorized OfficialJoel DegenaarsExecutive Director Of Finance · (603) 740-2806

Enumeration DateAugust 18, 2020

Last NPPES UpdateDecember 17, 20254 updates tracked since enumeration

NPPES CertifiedDecember 17, 2025

✔ NPI 1336751825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRegistered Nurse · Diabetes EducatorNursing Service Providers

Taxonomy Code163WD0400X

Also ListedDietitian, RegisteredTaxonomy 133V00000X

Also ListedPharmacist · Nutrition SupportTaxonomy 1835N1003X

10 MEMBERS WAY FL 5, Dover, NH 03820

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Secondary Practice Locations 4

Location 1121 Corporate Dr Ste 100Portsmouth, NH 03801-6897 · Phone (603) 740-2647

Location 267 Corporate Dr Bldg A3Portsmouth, NH 03801-2847 · Phone (603) 610-8079

Location 310 Members Way Ste 400Dover, NH 03820-5933 · Phone (603) 740-2887

Location 423 Works WaySomersworth, NH 03878-1638 · Phone (603) 742-2163

Other Identifiers 1

Other004786NH · Ada Certification

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARK LEE DICK M.D.

Internal Medicine