Organization Active NPI

Healthy Smiles, LLC

  • Dental Hygienist
  • Gardiner, ME
National Provider Identifier
1285027102
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
IPDH54 Issued in ME
Legal business name
HEALTHY SMILES, LLC
Practice address
343 Water St
Gardiner, ME 04345-2160
Phone
(207) 588-5526
NPI assigned
Mar 17, 2015
Last updated
Mar 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Authorized official

Name
Mr. Eric Shawn McMaster, IPDHNPI 1154675312
Title
Owner
Phone
(207) 588-5526

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X IPDH54 ME Primary

Addresses

Primary practice location

343 Water St
Gardiner, ME 04345-2160

Mailing address

343 Water St
Gardiner, ME 04345-2160
Phone (207) 588-5526

National Provider Directory

National Provider Directory

Locations

343 Water St
Gardiner, ME 04345
Phone (207) 588-5526

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": "1426550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1285027102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 WATER ST",
            "city": "GARDINER",
            "state": "ME",
            "postal_code": "043452160",
            "telephone_number": "207-588-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 WATER ST",
            "city": "GARDINER",
            "state": "ME",
            "postal_code": "043452160",
            "telephone_number": "207-588-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY SMILES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "MCMASTER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "SHAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-588-5526",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "IPDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "ME",
            "license": "IPDH54",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardiner, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.