NPIMap

Organization Active NPI

Msad #17

  • Developmentally Disabled Services Day Training Agency
  • Oxford, ME
National Provider Identifier
1053524645
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
251C00000X Issued in ME
Legal business name
MSAD #17
Practice address
1570 Main St
Suite 11
Oxford, ME 04270-3390
Phone
(207) 743-8972
NPI assigned
May 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mark Eastman
Title
Superintendent
Phone
(207) 743-8972

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 251C00000X ME Primary

Addresses

Primary practice location

1570 Main St
Suite 11
Oxford, ME 04270-3390

Mailing address

1570 Main St
Suite 11
Oxford, ME 04270-3390

National Provider Directory

National Provider Directory
Tax ID family
Msad 173 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1570 Main St
Ste 11
Oxford, ME 04270
Phone (207) 743-8972

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053524645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 MAIN ST",
            "address_2": "SUITE 11",
            "city": "OXFORD",
            "state": "ME",
            "postal_code": "042703390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 MAIN ST",
            "address_2": "SUITE 11",
            "city": "OXFORD",
            "state": "ME",
            "postal_code": "042703390",
            "telephone_number": "207-743-8972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSAD #17",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EASTMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "207-743-8972",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "ME",
            "license": "251C00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, ME

Sources for this page

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