MD Portland LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MD PORTLAND LLC

Practice address

15 Middle St # a-C2
Portland, ME 04101-4881

Phone

(207) 307-1793

NPI assigned

May 29, 2020

Organization subpart

Yes

Parent organization

LAWLOR ENTERPRISES LLCAs reported in NPPES

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

Authorized official

Name

Dr. Ben Lawlor, DDS

Title

Owner

Phone

(207) 307-1793

Specialties & licenses 1

Addresses

Electronic endpoints 1

Part of

Lawlor Enterprises LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Lawlor Enterprises LLC

  • General Practice Dentistry
  • Gray, ME
  • NPI 1225901739
  NPPES parent name

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590710400000",
    "number": "1003430711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850",
            "city": "GRAY",
            "state": "ME",
            "postal_code": "040390850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MIDDLE ST # A-C2",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014881",
            "telephone_number": "207-307-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD PORTLAND LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAWLOR ENTERPRISES LLC",
        "enumeration_date": "2020-05-29",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A",
        "authorized_official_last_name": "LAWLOR",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-307-1793",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@mdportland.com",
            "affiliation": "N",
            "address_1": "15 Middle St # A-C2",
            "city": "Portland",
            "state": "ME",
            "country_code": "US",
            "postal_code": "041014881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shannon Kellie McPherson, DPT
• Amanda McPheters, LCSW
• Joshua D McQueen, LCSW
• Melissa McStay
• Sarah Malka McVicar, LCPC, LADC
• Christine Nicole Meade, MD
• Anna Grace Meader, MD
• Medi-Rents of Maine, Inc.
• Medical House Calls of Southern Maine
• Medical Laser Services, LLC

• Dental Clinic/Center in Portland, ME
• Providers in Portland, ME by specialty
• Dental Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; 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.