Individual provider Active NPI

James Andrew Oshetski, D.D.S.

  • Dentist
  • Brunswick, ME
National Provider Identifier
1366406977
Registry record updated May 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4048 Issued in ME
Practice address
14 Maine St Ste 409
Brunswick, ME 04011-2054
Phone
(207) 729-1159
NPI assigned
Apr 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4048 ME Primary

Addresses

Primary practice location

14 Maine St Ste 409
Brunswick, ME 04011-2054

Mailing address

14 Maine St Ste 409
Brunswick, ME 04011-2054
Phone (207) 729-1159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170112000041 ME Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8426339102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4048MEMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274832000000",
    "number": "1366406977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MAINE ST STE 409",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112054",
            "telephone_number": "207-729-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MAINE ST STE 409",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112054",
            "telephone_number": "207-729-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSHETSKI",
        "first_name": "JAMES",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2010-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ME",
            "license": "4048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, ME

Sources for this page

Verify at the official NPI Registry.