NPIMap

Organization Active NPI

Catholic Charities Maine

  • Dental Clinic/Center
  • Bath, ME
National Provider Identifier
1114151180
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CATHOLIC CHARITIES MAINE
Practice address
171 Congress Ave
Bath, ME 04530-1531
Phone
(207) 443-9721
Fax
(207) 443-9722
NPI assigned
May 6, 2009
Last updated
Jul 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Authorized official

Name
Mr. Stephen P Letourneau
Title
Chief Executive Officer
Phone
(207) 781-8550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

171 Congress Ave
Bath, ME 04530-1531

Mailing address

307 Congress St
Portland, ME 04101-3638
Phone (207) 781-8550

Other names 1

  • Jesse Albert Dental and Orthodontic Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Catholic Charities Maine8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1114151180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 CONGRESS ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013638",
            "telephone_number": "207-781-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 CONGRESS AVE",
            "city": "BATH",
            "state": "ME",
            "postal_code": "045301531",
            "telephone_number": "207-443-9721",
            "fax_number": "207-443-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES MAINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-06",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "LETOURNEAU",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "207-781-8550",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jesse Albert Dental and Orthodontic Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bath, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.