Active NPI
Christopher J Castonguay, DMD
- Dentist
- Millinocket, ME
National Provider Identifier
1477046571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN4640
- Practice address
- 50 Summer St
Millinocket, ME 04462-1400 - Phone
- (207) 528-2285
- Fax
- (207) 528-2880
- NPI assigned
- Jun 13, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DEN4640 | ME | Primary |
Addresses
Primary practice location
50 Summer St
Millinocket, ME 04462-1400
Mailing address
529 S Patten Rd
Patten, ME 04765-3007
Phone (207) 528-2285
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: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230929000606 | ME | Practitioner - Dentist | 3577817477 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN4640 | ME | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528848000000",
"number": "1477046571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "529 S PATTEN RD",
"city": "PATTEN",
"state": "ME",
"postal_code": "047653007",
"telephone_number": "207-528-2285",
"fax_number": "207-528-2880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 SUMMER ST",
"city": "MILLINOCKET",
"state": "ME",
"postal_code": "044621400",
"telephone_number": "207-528-2285",
"fax_number": "207-528-2880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTONGUAY",
"first_name": "CHRISTOPHER",
"middle_name": "J",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-13",
"last_updated": "2018-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ME",
"license": "DEN4640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Millinocket, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.