Active NPI
Joseph Rodman Drake Dekay, D.O.
- Family Medicine Physician
- Hiram, ME
National Provider Identifier
1053418426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 994
- Practice address
- 4 Sebago Road
Hiram, ME 04041-0089 - Phone
- (207) 625-4730
- Fax
- (207) 625-4957
- NPI assigned
- Sep 20, 2006
- Last updated
- Nov 1, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 994 | ME | Primary |
Addresses
Primary practice location
4 Sebago Road
Hiram, ME 04041-0089
Mailing address
PO Box 89
4 Sebago Road
Hiram, ME 04041-0089
Phone (207) 625-4730
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002061 | Other | ME | ANTHEM |
| 112190000 | Medicaid | ME | |
| 4573273 | Other | ME | CIGNA |
| D93091 | Other | ME | HARVARD PILGRIM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 994 | ME | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288569600000",
"number": "1053418426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 89",
"address_2": "4 SEBAGO ROAD",
"city": "HIRAM",
"state": "ME",
"postal_code": "040410089",
"telephone_number": "207-625-4730",
"fax_number": "207-625-4957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 SEBAGO ROAD",
"city": "HIRAM",
"state": "ME",
"postal_code": "040410089",
"telephone_number": "207-625-4730",
"fax_number": "207-625-4957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEKAY",
"first_name": "JOSEPH",
"middle_name": "RODMAN DRAKE",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2010-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ME",
"license": "994",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "002061",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112190000",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4573273",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "D93091",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hiram, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.