Active NPI
Debra Ann Doody, IPH
- Dental Hygienist
- Fairfield, ME
National Provider Identifier
1396144002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- IPH50
- Practice address
- 294 RT 201 - Skowhegon Road
Fairfield, ME 04937 - Phone
- (207) 453-6171
- Fax
- (207) 453-6171
- NPI assigned
- Aug 19, 2014
- Last updated
- Aug 19, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | IPH50 | ME | Primary |
Addresses
Primary practice location
294 RT 201 - Skowhegon Road
Fairfield, ME 04937
Mailing address
272 Upper Main Street
Fairfield, ME 04937
Phone (207) 453-6171
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 |
|---|---|---|---|
| IPH50 | ME | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408406400000",
"number": "1396144002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "272 UPPER MAIN STREET",
"city": "FAIRFIELD",
"state": "ME",
"postal_code": "04937",
"telephone_number": "207-453-6171",
"fax_number": "207-453-6171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "294 RT 201 - SKOWHEGON ROAD",
"city": "FAIRFIELD",
"state": "ME",
"postal_code": "04937",
"telephone_number": "207-453-6171",
"fax_number": "207-453-6171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOODY",
"first_name": "DEBRA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "IPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-19",
"last_updated": "2014-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "ME",
"license": "IPH50",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.