Organization Active NPI

Mind Your Mouth, PA, LLC

  • General Practice Dentistry
  • South Portland, ME
National Provider Identifier
1316615677
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MIND YOUR MOUTH, PA, LLC
Practice address
225 Waterman Dr
South Portland, ME 04106-3634
Phone
(207) 200-4106
NPI assigned
Sep 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Authorized official

Name
Dr. Katherine Paret, DMDNPI 1760817159
Title
Member
Phone
(207) 747-7369

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

225 Waterman Dr
South Portland, ME 04106-3634

Mailing address

61 Ocean View Ave
South Portland, ME 04106-3010
Phone (207) 747-7369

Other practice location 1

85 Western Ave
South Portland, ME 04106-2423
Phone (207) 200-4106

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630454400000",
    "number": "1316615677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 OCEAN VIEW AVE",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063010",
            "telephone_number": "207-747-7369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 WATERMAN DR",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063634",
            "telephone_number": "207-200-4106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 Western Ave",
            "address_purpose": "LOCATION",
            "city": "South Portland",
            "state": "ME",
            "postal_code": "041062423",
            "country_code": "US",
            "telephone_number": "207-200-4106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIND YOUR MOUTH, PA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A",
        "authorized_official_last_name": "PARET",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "207-747-7369",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.