Individual provider Active NPI

Ingrid Prikryl, D.M.D.

  • Dentist
  • Augusta, ME
National Provider Identifier
1295986982
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN4087 Issued in ME
Practice address
250 Arsenal St
Augusta, ME 04330-5742
Phone
(207) 624-4773
NPI assigned
Oct 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN4087 ME Primary

Addresses

Primary practice location

250 Arsenal St
Augusta, ME 04330-5742

Mailing address

250 Arsenal St
Augusta, ME 04330-5742
Phone (207) 624-4773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100212000503 ME Practitioner - DentistPractitioner - Oral Surgery 2163566290 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN4087MEMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
State of Maine CurrentSince Dec 5, 2017 Accepting new patients
State of Maine Current Accepting new patients
State of Maine CurrentSince Dec 5, 2017 Accepting new patients

Locations

109 Capitol St
#11
Augusta, ME 04330

656 State St
Bangor, ME 04401
Phone (207) 941-4000

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1295986982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 ARSENAL ST",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043305742",
            "telephone_number": "207-624-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 ARSENAL ST",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043305742",
            "telephone_number": "207-624-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIKRYL",
        "first_name": "INGRID",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-01",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ME",
            "license": "DEN4087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, ME

Sources for this page

Verify at the official NPI Registry.