Active NPI
Donald Joseph Gagnon, D.M.D.
- Dentist
- Farmingdale, ME
National Provider Identifier
1194809913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2717
- Practice address
- 14 Merrill St
Farmingdale, ME 04344-1622 - Phone
- (207) 626-3091
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2717 | ME | Primary |
Addresses
Primary practice location
14 Merrill St
Farmingdale, ME 04344-1622
Mailing address
19 Patty Anne LN
West Gardiner, ME 04345-7520
Phone (207) 582-1010
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2717 | ME | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gagnon Dental | Past | Accepting new patients | |
| Donald J. Gagnon DMD PA | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Farmingdale, ME
- NPI 1740415363
-
- General Practice Dentistry
- Farmingdale, ME
- NPI 1023549615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1194809913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 PATTY ANNE LN",
"city": "WEST GARDINER",
"state": "ME",
"postal_code": "043457520",
"telephone_number": "207-582-1010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 MERRILL ST",
"city": "FARMINGDALE",
"state": "ME",
"postal_code": "043441622",
"telephone_number": "207-626-3091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAGNON",
"first_name": "DONALD",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ME",
"license": "2717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmingdale, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.