Individual provider Active NPI

Jeremiah Naas, LD, CDT

  • Denturist
  • Waterville, ME
National Provider Identifier
1346810892
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DenturistTaxonomy code 122400000X
License
DTR5538 Issued in ME
Practice address
3 Brigham St
Waterville, ME 04901-5114
Phone
(207) 314-7873
NPI assigned
Jun 28, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Denturist 122400000X DTR5538 ME Primary

Addresses

Primary practice location

3 Brigham St
Waterville, ME 04901-5114

Mailing address

3 Brigham St
Waterville, ME 04901-5114
Phone (207) 314-7873

Other practice location 1

40 Harrington Rd
Walpole, ME 04573-3208
Phone (207) 563-3368

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

State licenses

LicenseStateTypeSpecialty
DTR5538MEMDDenturist

Practice roles

OrganizationSpecialtyStatusNew patients
Inverness Dental Arts CurrentSince Jul 4, 2021 Accepting new patients
Denture Dynamics LLC Denturist PastSince Mar 11, 2025 Accepting new patients

Organizations & group practices 2

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": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1346810892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BRIGHAM ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015114",
            "telephone_number": "207-314-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BRIGHAM ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015114",
            "telephone_number": "207-314-7873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Harrington Rd",
            "address_purpose": "LOCATION",
            "city": "Walpole",
            "state": "ME",
            "postal_code": "045733208",
            "country_code": "US",
            "telephone_number": "207-563-3368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAAS",
        "first_name": "JEREMIAH",
        "name_prefix": "Mr.",
        "credential": "LD, CDT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "ME",
            "license": "DTR5538",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 28, 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.