Active NPI
Nadeau Orthodontics PA
- Dentist
- Kennebunk, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3590
- Legal business name
- NADEAU ORTHODONTICS PA
- Practice address
- 63 Portland Road
Suite 5
Kennebunk, ME 04043 - Phone
- (207) 985-8999
- Fax
- (207) 985-8965
- NPI assigned
- Sep 26, 2006
- Last updated
- Aug 22, 2020
- 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. Mark Edmund Nadeau, DMD
- Title
- President Dentist
- Phone
- (207) 985-8999
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3590 | ME | Primary |
Addresses
Primary practice location
63 Portland Road
Suite 5
Kennebunk, ME 04043
Mailing address
63 Portland Road
Suite 5
Kennebunk, ME 04043
Phone (207) 985-8999
Other names 1
- Dr Mark Nadeau
National Provider Directory
National Provider DirectoryLocations
63 Portland Rd
Ste 5
Kennebunk, ME 04043
Phone (207) 985-8999
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Kennebunk, ME
- NPI 1568785798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1275634412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 PORTLAND ROAD",
"address_2": "SUITE 5",
"city": "KENNEBUNK",
"state": "ME",
"postal_code": "04043",
"telephone_number": "207-985-8999",
"fax_number": "207-985-8965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 PORTLAND ROAD",
"address_2": "SUITE 5",
"city": "KENNEBUNK",
"state": "ME",
"postal_code": "04043",
"telephone_number": "207-985-8999",
"fax_number": "207-985-8965"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NADEAU ORTHODONTICS PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NADEAU",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "EDMUND",
"authorized_official_title_or_position": "PRESIDENT DENTIST",
"authorized_official_telephone_number": "207-985-8999",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ME",
"license": "3590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dr Mark Nadeau",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Kennebunk, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.