Organization Active NPI

Peterh. Larrabee D.M.D., P.a.

  • General Practice Dentistry
  • Buxton, ME
National Provider Identifier
1063615896
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2591 Issued in ME
Legal business name
PETERH. LARRABEE D.M.D., P.A.
Practice address
175 Narragansett Trail
Buxton, ME 04093
Phone
(207) 929-6626
Fax
(207) 929-6627
NPI assigned
Jun 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
Bonnie Marie Larrabee
Title
Practice Manager
Phone
(207) 929-6626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2591 ME Primary

Addresses

Primary practice location

175 Narragansett Trail
Buxton, ME 04093

Mailing address

PO Box 58
Bar Mills, ME 04004-0058
Phone (207) 929-6626

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063615896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58",
            "city": "BAR MILLS",
            "state": "ME",
            "postal_code": "040040058",
            "telephone_number": "207-929-6626",
            "fax_number": "207-929-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 NARRAGANSETT TRAIL",
            "city": "BUXTON",
            "state": "ME",
            "postal_code": "04093",
            "telephone_number": "207-929-6626",
            "fax_number": "207-929-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERH. LARRABEE D.M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LARRABEE",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "207-929-6626"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "2591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buxton, 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.