Individual provider Active NPI

Aaron Im, D.M.D.

  • General Practice Dentistry
  • South Paris, ME
National Provider Identifier
1376715276
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN4059 Issued in ME
Practice address
10 Market SQ
Suite 3
South Paris, ME 04281-1534
Phone
(207) 743-8701
NPI assigned
Mar 31, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN4059 ME Primary

Addresses

Primary practice location

10 Market SQ
Suite 3
South Paris, ME 04281-1534

Mailing address

10 Market SQ
Suite 3
South Paris, ME 04281-1534
Phone (207) 743-8701

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150608002814 ME Order and Referring Only - Other (Non-Physician) 3274854872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN4059MEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Crossway Family Dental PA General Practice Current Accepting new patients
Crossway Family Dental PA General Practice Current Accepting new patients

Locations

193 Main St
Norway, ME 04268
Phone (207) 743-2544

10 Market Sq
Ste 3
South Paris, ME 04281
Phone (207) 743-8701

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": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1376715276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MARKET SQ",
            "address_2": "SUITE 3",
            "city": "SOUTH PARIS",
            "state": "ME",
            "postal_code": "042811534",
            "telephone_number": "207-743-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MARKET SQ",
            "address_2": "SUITE 3",
            "city": "SOUTH PARIS",
            "state": "ME",
            "postal_code": "042811534",
            "telephone_number": "207-743-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IM",
        "first_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-31",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "DEN4059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Paris, ME

Sources for this page

Verify at the official NPI Registry.