Alissa A Wade, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

2650 Issued in ME

Practice address

92 Shaw Hill Rd
Hampden, ME 04444-3402

Phone

(207) 862-5888

NPI assigned

Nov 24, 2010

Last updated

Nov 24, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Prevention Works

  • Dental Hygienist
  • Hampden, ME
  • NPI 1568764595
  NPD (past) Authorized official

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

{
    "created_epoch": "1290556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290556800000",
    "number": "1487956413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 SHAW HILL RD",
            "city": "HAMPDEN",
            "state": "ME",
            "postal_code": "044443402",
            "telephone_number": "207-862-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 SHAW HILL RD",
            "city": "HAMPDEN",
            "state": "ME",
            "postal_code": "044443402",
            "telephone_number": "207-862-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "ALISSA",
        "middle_name": "A",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-24",
        "last_updated": "2010-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "ME",
            "license": "2650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Corson's Home
• Keith Gordon Tibbetts, LCPC
• Town of Hampden (Hampden Fire Department)
• True North Chiropractic PC
• Gail Marie Tudor, M.A., CCC-SLP
• Walgreen Eastern Co Inc (Walgreens #18112)
• Madeline Christina West, CCC-SLP
• Kate Weymouth, D.C
• Elizabeth White, SLP-A
• Alisa Renee Wing, MA/CAS

• Dental Hygienist in Hampden, ME
• Providers in Hampden, ME by specialty
• Dental Hygienist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; 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.