Active NPI
Brian David Patterson, DDS, MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Waterville, ME
National Provider Identifier
1316413974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DEN4615
- Practice address
- 6 Cool St
Waterville, ME 04901-5220 - Phone
- (207) 873-7425
- NPI assigned
- Oct 22, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DEN4615 | ME | Primary |
Addresses
Primary practice location
6 Cool St
Waterville, ME 04901-5220
Mailing address
11 Giffords Point Rd
Raymond, ME 04071-6690
Phone (409) 782-1118
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DEN4615 | Other | ME | MAINE DENTAL LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN4615 | ME | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716508800000",
"number": "1316413974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 GIFFORDS POINT RD",
"city": "RAYMOND",
"state": "ME",
"postal_code": "040716690",
"telephone_number": "409-782-1118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 COOL ST",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049015220",
"telephone_number": "207-873-7425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "BRIAN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-22",
"last_updated": "2024-05-24",
"certification_date": "2024-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "ME",
"license": "DEN4615",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAINE DENTAL LICENSE NUMBER",
"identifier": "DEN4615",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waterville, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.