Randal Joseph Thivierge

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3037 Issued in ME

Legal business name

RANDAL JOSEPH THIVIERGE

Doing business as

MidCoast Family Dentistry

Practice address

625 Rockland St
Rockport, ME 04856-5320

Phone

(207) 236-3100

Fax

(207) 236-8380

NPI assigned

Mar 24, 2011

Last updated

Nov 1, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jody L Lavoie

Title

Operations Manager

Phone

(207) 236-3100

Specialties & licenses 2

Addresses

Other names 1

• MidCoast Family Dentistry Doing business as

Locations

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.

• Eric A. Betz, D.C.

  • Chiropractor
  • Lincolnville, ME
  • NPI 1073695169
  NPD (past)
• Brian Timothy Brunacini, DDS

  • Dentist
  • Rockport, ME
  • NPI 1083845663
  NPD (past)

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1124327564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 ROCKLAND ST",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048565320",
            "telephone_number": "207-236-3100",
            "fax_number": "207-236-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 ROCKLAND ST",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048565320",
            "telephone_number": "207-236-3100",
            "fax_number": "207-236-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDAL JOSEPH THIVIERGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-24",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "LAVOIE",
        "authorized_official_first_name": "JODY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "207-236-3100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "ME",
            "license": "3037",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "3037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MidCoast Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jean Falk Poole, P.T.
• Katie Port, RDH,IPDH
• Melissa C Powers
• Jacob Quaytman, MD
• Reza Rahbar-Semnani, MD
• John Whitney Randolph, DO
• Jeffrey Frank Rasmussen, M.D.
• Aoife B Redmond-Durow, MD
• Jeffrey David Reed, DO
• Jennifer Reed, PHARMD

• General Practice Dentistry in Rockport, ME
• Providers in Rockport, ME by specialty
• General Practice Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.