Nicole M Pratt, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DEN4500 Issued in ME

Practice address

2 Evergreen Dr
Oakland, ME 04963-5364

Phone

(207) 861-5801

NPI assigned

Jul 7, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kennebec Valley Dental Coalition Inc

  • Dental Clinic/Center
  • Oakland, ME
  • NPI 1497899165
  NPD
• Central Maine Dental, L.L.C.

  • General Practice Dentistry
  • Lewiston, ME
  • NPI 1952721276

  General Practice

  NPD (past)

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1194177741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 EVERGREEN DR",
            "city": "OAKLAND",
            "state": "ME",
            "postal_code": "049635364",
            "telephone_number": "207-861-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EVERGREEN DR",
            "city": "OAKLAND",
            "state": "ME",
            "postal_code": "049635364",
            "telephone_number": "207-861-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATT",
        "first_name": "NICOLE",
        "middle_name": "M",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-07",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ME",
            "license": "DEN4500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albert Joseph Pepe, M.D.
• Jesus Ruben Perez, RDMS
• Julia Pickett
• Stephen Polley
• Devon Pooler
• Zachary James Radford, MD
• Jose Antonio Ramirez, M.D.
• Jocelin N Reatiraza, MD
• Regional School Unit No. 18
• Lydia LM Richards, LCSW

• All providers in Oakland, ME
• Dentist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.