Individual provider Active NPI

Colette M Sirois, DMD

  • Dentist
  • Scarborough, ME
National Provider Identifier
1043386683
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3263 Issued in ME
Practice address
618 US Route One Suite 4
Dunstand Dental Center LLC
Scarborough, ME 04074-9618
Phone
(207) 883-3229
Fax
(207) 883-1184
NPI assigned
Nov 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3263 ME Primary

Addresses

Primary practice location

618 US Route One Suite 4
Dunstand Dental Center LLC
Scarborough, ME 04074-9618

Mailing address

3 Labonte Ave W
Saco, ME 04072-2511
Phone (207) 284-9197

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150619000652 ME Order and Referring Only - DentistPractitioner - Dentist 3375854110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3263MEMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dunstan Dental Center, LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043386683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LABONTE AVE W",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040722511",
            "telephone_number": "207-284-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 US ROUTE ONE SUITE 4",
            "address_2": "DUNSTAND DENTAL CENTER LLC",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749618",
            "telephone_number": "207-883-3229",
            "fax_number": "207-883-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIROIS",
        "first_name": "COLETTE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ME",
            "license": "3263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

Verify at the official NPI Registry.