Individual provider Active NPI

Leslie Farrin, RDH, MFT

  • Dental Hygienist
  • Westbrook, ME
National Provider Identifier
1356192454
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
RDH3557 Issued in ME
Practice address
690 Stroudwater St
Westbrook, ME 04092-4949
Phone
(207) 310-8272
NPI assigned
Mar 28, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X
Dental HygienistGroup: 193200000X MULTI-SPECIALTY GROUP 124Q00000X RDH3557 ME Primary

Addresses

Primary practice location

690 Stroudwater St
Westbrook, ME 04092-4949

Mailing address

200 Ichabod Lane Ext
Gorham, ME 04038-2744
Phone (207) 310-8272

Other practice location 1

200 Ichabod Lane Ext
Gorham, ME 04038-2744
Phone (207) 310-8272

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
RDH3557MEMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Myo2 Health CurrentSince Mar 31, 2024 Accepting new patients

Organizations & group practices 1

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": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1356192454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ICHABOD LANE EXT",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040382744",
            "telephone_number": "207-310-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 STROUDWATER ST",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924949",
            "telephone_number": "207-310-8272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Ichabod Lane Ext",
            "address_purpose": "LOCATION",
            "city": "Gorham",
            "state": "ME",
            "postal_code": "040382744",
            "country_code": "US",
            "telephone_number": "207-310-8272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARRIN",
        "first_name": "LESLIE",
        "credential": "RDH, MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "ME",
            "license": "RDH3557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbrook, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.

Verify at the official NPI Registry.