Jay Alan Beauchemin, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3159 Issued in ME

Practice address

716 Stevens Ave
Portland, ME 04103-2656

Phone

(207) 221-4709

Fax

(207) 523-1915

NPI assigned

May 9, 2006

Last updated

Aug 22, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408665600000",
    "number": "1043269657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 STEVENS AVE",
            "address_2": "#211",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041032656",
            "telephone_number": "207-221-4709",
            "fax_number": "207-523-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 STEVENS AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041032656",
            "telephone_number": "207-221-4709",
            "fax_number": "207-523-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUCHEMIN",
        "first_name": "JAY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2014-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "3159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misty Dawn Beasley, PHARMD
• Richard H Beasley Jr., DO
• Anthony W Beattie, LMHC, LCC
• Chloe Beattie, LMSW-CC
• Lane Thomas Beatty, MD
• Miranda Beaudoin
• Jennifer L Beaule, M.S. ED.
• Danielle R Beaulieu
• Sara Beaulieu, LMSW-CC
• Zachary Robert Beaulieu

• General Practice Dentistry in Portland, ME
• Providers in Portland, ME by specialty
• General Practice Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; 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.