Individual provider Active NPI

William W. Dreyer, DMD PA

  • General Practice Dentistry
  • Fryeburg, ME
National Provider Identifier
1104957091
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2339 Issued in ME
Practice address
44 Portland St Ste 1
Fryeburg, ME 04037-1206
Phone
(207) 935-3133
Fax
(207) 935-7166
NPI assigned
Mar 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2339 ME Primary

Addresses

Primary practice location

44 Portland St Ste 1
Fryeburg, ME 04037-1206

Mailing address

44 Portland St Ste 1
Fryeburg, ME 04037-1206
Phone (207) 935-3133

Other identifiers 1

IdentifierTypeStateIssuer
30316236MedicaidNH

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2339MEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
William W Dreyerdmd PA General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1104957091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 PORTLAND ST STE 1",
            "city": "FRYEBURG",
            "state": "ME",
            "postal_code": "040371206",
            "telephone_number": "207-935-3133",
            "fax_number": "207-935-7166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 PORTLAND ST STE 1",
            "city": "FRYEBURG",
            "state": "ME",
            "postal_code": "040371206",
            "telephone_number": "207-935-3133",
            "fax_number": "207-935-7166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREYER",
        "first_name": "WILLIAM",
        "middle_name": "W.",
        "credential": "DMD PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "2339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30316236",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fryeburg, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.