Active NPI
Philip Sanguedolce
- Denturist
- Kittery, ME
National Provider Identifier
1356550834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Denturist
- License
- 5023
- Practice address
- 37 Route 236
Suite 215
Kittery, ME 03904-6000 - Phone
- (207) 451-9898
- Fax
- (207) 438-0257
- NPI assigned
- May 22, 2007
- 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 |
|---|---|---|---|---|
| Denturist | 122400000X | 5023 | ME | Primary |
Addresses
Primary practice location
37 Route 236
Suite 215
Kittery, ME 03904-6000
Mailing address
37 Route 236
Suite 215
Kittery, ME 03904-6000
Phone (207) 451-9898
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5023 | ME | MD | Denturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1356550834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 ROUTE 236",
"address_2": "SUITE 215",
"city": "KITTERY",
"state": "ME",
"postal_code": "039046000",
"telephone_number": "207-451-9898",
"fax_number": "207-438-0257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 ROUTE 236",
"address_2": "SUITE 215",
"city": "KITTERY",
"state": "ME",
"postal_code": "039046000",
"telephone_number": "207-451-9898",
"fax_number": "207-438-0257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANGUEDOLCE",
"first_name": "PHILIP",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "122400000X",
"taxonomy_group": "",
"desc": "Denturist",
"state": "ME",
"license": "5023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kittery, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.