Active NPI
Stefan Anders Andren, DDS
- General Practice Dentistry
- Falmouth, ME
National Provider Identifier
1063552982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3663
- Practice address
- 74 Gray Rd
3
Falmouth, ME 04105-2062 - Phone
- (207) 878-8844
- NPI assigned
- Feb 8, 2007
- Last updated
- Oct 22, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3663 | ME | Primary |
Addresses
Primary practice location
74 Gray Rd
3
Falmouth, ME 04105-2062
Mailing address
74 Gray Rd
3
Falmouth, ME 04105-2062
Phone (207) 878-8844
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3663 | ME | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Sleep Maine | General Practice | Past | Accepting new patients |
| Renewal Dental PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Falmouth, ME
- NPI 1124479118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445472000000",
"number": "1063552982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 GRAY RD",
"address_2": "3",
"city": "FALMOUTH",
"state": "ME",
"postal_code": "041052062",
"telephone_number": "207-878-8844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 GRAY RD",
"address_2": "3",
"city": "FALMOUTH",
"state": "ME",
"postal_code": "041052062",
"telephone_number": "207-878-8844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREN",
"first_name": "STEFAN",
"middle_name": "ANDERS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-08",
"last_updated": "2015-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "ME",
"license": "3663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Falmouth, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.