Active NPI
Maine Prosthodontics
- Prosthodontics
- Portland, ME
National Provider Identifier
1457553182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 3784
- Legal business name
- MAINE PROSTHODONTICS
- Practice address
- 1250 Forest Avenue
Portland, ME 04103 - Phone
- (207) 773-6177
- Fax
- (207) 773-6552
- NPI assigned
- Jun 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Frank A Musciano, DDS
- Title
- Official
- Phone
- (207) 773-6177
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 2624 | ME | |
| Prosthodontics | 1223P0700X | 3398 | ME | |
| Prosthodontics | 1223P0700X | 3784 | ME | Primary |
Addresses
Primary practice location
1250 Forest Avenue
Portland, ME 04103
Mailing address
1250 Forest Avenue
Portland, ME 04103
Phone (207) 773-6177
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 432010199 | Medicaid | ME | |
| 293730099 | Medicaid | ME | |
| 431940999 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1250 Forest Ave
Ste 305
Portland, ME 04103
Phone (207) 773-6177
276 Canco Rd
Portland, ME 04103
Phone (207) 773-6177
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Prosthodontics
- Portland, ME
- NPI 1497719884
-
- Prosthodontics
- Portland, ME
- NPI 1649305822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383696000000",
"number": "1457553182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 FOREST AVENUE",
"city": "PORTLAND",
"state": "ME",
"postal_code": "04103",
"telephone_number": "207-773-6177",
"fax_number": "207-773-6552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 FOREST AVENUE",
"city": "PORTLAND",
"state": "ME",
"postal_code": "04103",
"telephone_number": "207-773-6177",
"fax_number": "207-773-6552"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAINE PROSTHODONTICS",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-04",
"last_updated": "2013-11-06",
"status": "A",
"authorized_official_last_name": "MUSCIANO",
"authorized_official_first_name": "FRANK",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OFFICIAL",
"authorized_official_telephone_number": "207-773-6177",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Prosthodontics",
"state": "ME",
"license": "2624",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Prosthodontics",
"state": "ME",
"license": "3398",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Prosthodontics",
"state": "ME",
"license": "3784",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "432010199",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "293730099",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "431940999",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
- Maine Nephrology Associates P.a.
- Maine Orthopaedic Center, PA
- Maine Orthotic and Prosthetic Rehab Services Inc
- Maine Pediatric Surgical Associates
- Maine Pretrial Services, Inc.
- Maine Resource Development Corp
- Maine Resource Development Corporation
- Maine State Interpreters
- Maine Therapy Collective PLLC
- Maine Vocational Associates, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.