Active NPI
Andrea M Taliento, D.M.D.
- General Practice Dentistry
- Augusta, ME
National Provider Identifier
1215131024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4035
- Practice address
- 281 Western Ave
Augusta, ME 04330-4933 - Phone
- (207) 622-0861
- NPI assigned
- Jun 14, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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.
-
- General Practice Dentistry
- Gorham, ME
- NPI 1679923643
NPD (past) General Practice -
- General Practice Dentistry
- Augusta, ME
- NPI 1013121342
NPD (past) General Practice -
- General Practice Dentistry
- Gorham, ME
- NPI 1619982360
NPD (past) General Practice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 18, 2015 through May 18, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4035 | ME | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ronald L. Seekins, D.D.S.,P.a. | General Practice | Past | Accepting new patients |
| Evergreen Dental Associates LLC | General Practice | Past | Accepting new patients |
| Andrea M. Taliento, DMD, P.a. | General Practice | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4035 | ME | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
281 Western Ave
Augusta, ME 04330-4933
Mailing address
281 Western Ave
Augusta, ME 04330-4933
Phone (207) 622-0861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215131024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "281 WESTERN AVE",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043304933",
"telephone_number": "207-622-0861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "281 WESTERN AVE",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043304933",
"telephone_number": "207-622-0861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALIENTO",
"first_name": "ANDREA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "ME",
"license": "4035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.