Stephen Joseph Tangredi, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DEN4426 Issued in ME

Practice address

82 Coyle St
Portland, ME 04101-1628

Phone

(207) 772-7431

Fax

(207) 772-7477

NPI assigned

May 30, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Endodontic Associates

  • Health Maintenance Organization
  • Portland, ME
  • NPI 1861611949
  NPD (past)

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

{
    "created_epoch": "1432944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1083094528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 OCEAN AVE",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117681811",
            "telephone_number": "516-810-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 COYLE ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041011628",
            "telephone_number": "207-772-7431",
            "fax_number": "207-772-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANGREDI",
        "first_name": "STEPHEN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-30",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02584900",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ME",
            "license": "DEN4426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry P Talarico, M.D.
• Susan B Talbot, MD
• Jennifer C Talmadge, M.D.
• William B Talpey, MD
• Cynthia Crystal Tang
• Molly Tanguay, PA
• Coreen Tanner
• Marie H Tanzer, MD
• Ryan Tapia, LMT
• Michael Tapley, PHARM.D

• Dentist in Portland, ME
• Providers in Portland, ME by specialty
• Dentist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.

Verify at the official NPI Registry.