Active NPI
Colette M Sirois, DMD
- Dentist
- Scarborough, ME
National Provider Identifier
1043386683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3263
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150619000652 | ME | Order and Referring Only - Dentist | 3375854110 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3263 | ME | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Practice Dentistry
- Scarborough, ME
- NPI 1447433560
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.