Active NPI
Michelle Colleen Carlson, RDH
- Dental Hygienist
- Hermon, ME
National Provider Identifier
1437677101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- Practice address
- 2402 Route 2 Ste E
Hermon, ME 04401-0666 - Phone
- (207) 848-3384
- NPI assigned
- Sep 1, 2017
- Last updated
- Sep 1, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | NU | Primary |
Addresses
Primary practice location
2402 Route 2 Ste E
Hermon, ME 04401-0666
Mailing address
348 Parkway S
Brewer, ME 04412-1720
Phone (207) 745-6615
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504224000000",
"number": "1437677101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "348 PARKWAY S",
"city": "BREWER",
"state": "ME",
"postal_code": "044121720",
"telephone_number": "207-745-6615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2402 ROUTE 2 STE E",
"city": "HERMON",
"state": "ME",
"postal_code": "044010666",
"telephone_number": "207-848-3384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "MICHELLE",
"middle_name": "COLLEEN",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-01",
"last_updated": "2017-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hermon, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.