Active NPI
Paul M Levasseur, L.D.
- Denturist
- Standish, ME
National Provider Identifier
1497043616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Denturist
- License
- 5010
- Practice address
- 178 Cape Rd
Standish, ME 04084-6147 - Phone
- (207) 642-2310
- Fax
- (207) 642-6815
- NPI assigned
- Jul 21, 2011
- 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 |
|---|---|---|---|---|
| Denturist | 122400000X | 5010 | ME | Primary |
Addresses
Primary practice location
178 Cape Rd
Standish, ME 04084-6147
Mailing address
PO Box 58
7 Gretchen Lane
Standish, ME 04084-0058
Phone (207) 642-2310
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 |
|---|---|---|---|
| 5010 | ME | MD | Denturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Standish Denture Center LLC | Denturist | 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.
-
- Denturist
- Standish, ME
- NPI 1164714812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311206400000",
"number": "1497043616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 58",
"address_2": "7 GRETCHEN LANE",
"city": "STANDISH",
"state": "ME",
"postal_code": "040840058",
"telephone_number": "207-642-2310",
"fax_number": "207-642-6815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "178 CAPE RD",
"city": "STANDISH",
"state": "ME",
"postal_code": "040846147",
"telephone_number": "207-642-2310",
"fax_number": "207-642-6815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVASSEUR",
"first_name": "PAUL",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "L.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-21",
"last_updated": "2011-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "122400000X",
"taxonomy_group": "",
"desc": "Denturist",
"state": "ME",
"license": "5010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Standish, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.