Active NPI
Michael F McCabe, DMD
- Dentist
- Lewiston, ME
National Provider Identifier
1487236493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN4950
- Practice address
- 177 Main St
Lewiston, ME 04240-7016 - Phone
- (207) 777-7442
- NPI assigned
- Apr 28, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | DEN4950 | ME | Primary |
Addresses
Primary practice location
177 Main St
Lewiston, ME 04240-7016
Mailing address
20 Marshall St #1
Portland, ME 04102
Phone (207) 662-0111
Other practice location 1
Maine Medical Center
22 Bramhall St
Portland, ME 04102
Phone (978) 319-0539
Other practice location 2
190 Park Ave
Portland, ME 04102-1000
Phone (207) 874-1028
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN4950 | ME | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Dental | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Lewiston, ME
- NPI 1851467252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667865600000",
"number": "1487236493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 MARSHALL ST #1",
"city": "PORTLAND",
"state": "ME",
"postal_code": "04102",
"telephone_number": "207-662-0111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "177 MAIN ST",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042407016",
"telephone_number": "207-777-7442"
}
],
"practiceLocations": [
{
"address_1": "Maine Medical Center",
"address_2": "22 Bramhall St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "04102",
"country_code": "US",
"telephone_number": "978-319-0539",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "190 Park Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041021000",
"country_code": "US",
"telephone_number": "207-874-1028",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCABE",
"first_name": "MICHAEL",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-28",
"last_updated": "2022-11-08",
"certification_date": "2022-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ME",
"license": "DEN4950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewiston, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.