Active NPI
Dorothy Margaret Maroon, RDH
- Dental Hygienist
- Poland, ME
National Provider Identifier
1194966002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- RDH2546
- Practice address
- 12 Lafrinea LN
Poland, ME 04274-6158 - Phone
- (207) 998-3500
- NPI assigned
- Mar 23, 2009
- Last updated
- Mar 23, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | RDH2546 | ME | Primary |
Addresses
Primary practice location
12 Lafrinea LN
Poland, ME 04274-6158
Mailing address
12 Lafrinea LN
Poland, ME 04274-6158
Phone (207) 998-3500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 188720000 | Other | ME | MAINE CARE |
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 |
|---|---|---|---|
| RDH2546 | ME | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tooth Fairies Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Public Health or Welfare Agency
- Poland, ME
- NPI 1376774828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237766400000",
"number": "1194966002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 LAFRINEA LN",
"city": "POLAND",
"state": "ME",
"postal_code": "042746158",
"telephone_number": "207-998-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 LAFRINEA LN",
"city": "POLAND",
"state": "ME",
"postal_code": "042746158",
"telephone_number": "207-998-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAROON",
"first_name": "DOROTHY",
"middle_name": "MARGARET",
"name_prefix": "Mrs.",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-23",
"last_updated": "2009-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "ME",
"license": "RDH2546",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAINE CARE",
"identifier": "188720000",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.