NPIMap

Organization Active NPI

Standish Denture Center LLC

  • Denturist
  • Standish, ME
National Provider Identifier
1164714812
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DenturistTaxonomy code 122400000X
License
5010 Issued in ME
Legal business name
STANDISH DENTURE CENTER LLC
Practice address
178 Cape Rd
Standish, ME 04084-6147
Phone
(207) 642-2310
Fax
(207) 642-6815
NPI assigned
May 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2011

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

Authorized official

Name
Mr. Paul Michael Levasseur, DENTURISTNPI 1497043616
Title
Owner
Phone
(207) 642-2310

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DenturistGroup: 193400000X SINGLE SPECIALTY GROUP 122400000X 5010 ME Primary

Addresses

Primary practice location

178 Cape Rd
Standish, ME 04084-6147

Mailing address

PO Box 549
Standish, ME 04084
Phone (207) 642-2310

National Provider Directory

National Provider Directory
Tax ID family
Standish Denture Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306972800000",
    "number": "1164714812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 549",
            "city": "STANDISH",
            "state": "ME",
            "postal_code": "04084",
            "telephone_number": "207-642-2310",
            "fax_number": "207-642-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 CAPE RD",
            "city": "STANDISH",
            "state": "ME",
            "postal_code": "040846147",
            "telephone_number": "207-642-2310",
            "fax_number": "207-642-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANDISH DENTURE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-12",
        "last_updated": "2011-06-02",
        "status": "A",
        "authorized_official_last_name": "LEVASSEUR",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-642-2310",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DENTURIST"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Denturist",
            "state": "ME",
            "license": "5010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Standish, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.