Individual provider Active NPI

Kyra Chadbourne, DDS

  • Dentist
  • Falmouth, ME
National Provider Identifier
1477786705
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0000 Issued in ME
Practice address
78 Leighton Rd
Falmouth, ME 04105-2225
Phone
(207) 878-8600
Fax
(207) 221-1955
NPI assigned
Sep 3, 2009
Last updated
Oct 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0000 ME Primary

Addresses

Primary practice location

78 Leighton Rd
Falmouth, ME 04105-2225

Mailing address

78 Leighton Rd
Falmouth, ME 04105-2225
Phone (207) 878-8600

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0000MEMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Sleep Dentistry, LLC CurrentSince Aug 19, 2016 Accepting new patients
Falmouth Dentistry Dentist Past Accepting new patients

Locations

78 Leighton Rd
Falmouth, ME 04105
Phone (207) 878-8600

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476144000000",
    "number": "1477786705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 LEIGHTON RD",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041052225",
            "telephone_number": "207-878-8600",
            "fax_number": "207-221-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 LEIGHTON RD",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041052225",
            "telephone_number": "207-878-8600",
            "fax_number": "207-221-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHADBOURNE",
        "first_name": "KYRA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-03",
        "last_updated": "2016-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ME",
            "license": "0000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.