Organization Active NPI

Nadeau Orthodontics PA

  • Dentist
  • Kennebunk, ME
National Provider Identifier
1275634412
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3590 Issued in ME
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mark Edmund Nadeau, DMDNPI 1568785798
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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.