Active NPI
Jay a. Beauchemin, DDS, PA
- Dental Clinic/Center
- Saco, ME
National Provider Identifier
1235342452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 3159
- Legal business name
- JAY A. BEAUCHEMIN, DDS, PA
- Practice address
- 110 Main St
Suite 1218
Saco, ME 04072-3509 - Phone
- (207) 284-4007
- NPI assigned
- May 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jay A. Beauchemin, D.D.S.
- Title
- Owner
- Phone
- (207) 284-4007
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 3159 | ME | Primary |
Addresses
Primary practice location
110 Main St
Suite 1218
Saco, ME 04072-3509
Mailing address
110 Main St
Suite 1218
Saco, ME 04072-3509
Phone (207) 284-4007
National Provider Directory
National Provider DirectoryLocations
110 Main St
Ste 1218
Saco, ME 04072
Phone (207) 284-4007
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dental Hygienist
- Saco, ME
- NPI 1518191139
-
- Dental Hygienist
- Saco, ME
- NPI 1679707327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242000000000",
"number": "1235342452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 MAIN ST",
"address_2": "SUITE 1218",
"city": "SACO",
"state": "ME",
"postal_code": "040723509",
"telephone_number": "207-284-4007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 MAIN ST",
"address_2": "SUITE 1218",
"city": "SACO",
"state": "ME",
"postal_code": "040723509",
"telephone_number": "207-284-4007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAY A. BEAUCHEMIN, DDS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-07",
"last_updated": "2009-05-11",
"status": "A",
"authorized_official_last_name": "BEAUCHEMIN",
"authorized_official_first_name": "JAY",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "207-284-4007",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "ME",
"license": "3159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saco, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.