Organization Active NPI

Loren D. Baldus, D.M.D., P.a.

  • General Practice Dentistry
  • Searsport, ME
National Provider Identifier
1417028945
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2528 Issued in ME
Legal business name
LOREN D. BALDUS, D.M.D., P.A.
Practice address
#9 Mt. Ephraim Road
Searsport, ME 04974
Phone
(207) 548-6161
Fax
(207) 548-2132
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Loren D Baldus, DMDNPI 1750453288
Title
Ceo
Phone
(207) 548-6161

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2528 ME Primary

Addresses

Primary practice location

#9 Mt. Ephraim Road
Searsport, ME 04974

Mailing address

PO Box 327
Searsport, ME 04974-0327
Phone (207) 548-6161

Other identifiers 1

IdentifierTypeStateIssuer
2528OtherMEME LICENSE #

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417028945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 327",
            "city": "SEARSPORT",
            "state": "ME",
            "postal_code": "049740327",
            "telephone_number": "207-548-6161",
            "fax_number": "207-548-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#9 MT. EPHRAIM ROAD",
            "city": "SEARSPORT",
            "state": "ME",
            "postal_code": "04974",
            "telephone_number": "207-548-6161",
            "fax_number": "207-548-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOREN D. BALDUS, D.M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALDUS",
        "authorized_official_first_name": "LOREN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-548-6161",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "2528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ME LICENSE #",
            "identifier": "2528",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Searsport, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.