Individual provider Active NPI

Christina A Gitto, DDS

  • Prosthodontics
  • Portland, ME
National Provider Identifier
1497719884
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
30019151G Issued in OH
Practice address
1250 Forest Ave
Portland, ME 04103-1889
Phone
(207) 773-6177
NPI assigned
Apr 13, 2006
Last updated
Nov 5, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 30019151G OH Primary

Addresses

Primary practice location

1250 Forest Ave
Portland, ME 04103-1889

Mailing address

1250 Forest Ave
Portland, ME 04103-1889
Phone (207) 773-6177

Other identifiers 1

IdentifierTypeStateIssuer
2140703MedicaidOH

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080924000032 ME Practitioner - Maxillofacial Surgery 9537172218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial Surgery
Education
Other, 1989
Medicare assignment
May accept Medicare assignment
Group practices
Maine ProsthodonticsGroup PAC ID 8426084955, 2 clinicians

Practice addresses (Care Compare)

1250 Forest Ave
Suite 305
Portland, ME 04103-1884
Phone (207) 773-6177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30019151GOHMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Prosthodontics Prosthodontics CurrentSince Jul 21, 2008 Accepting new patients

Locations

1250 Forest Ave
Portland, ME 04103
Phone (207) 797-5753

1250 Forest Ave
Ste 305
Portland, ME 04103
Phone (207) 773-6177

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, 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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446681600000",
    "number": "1497719884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 FOREST AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041031889",
            "telephone_number": "207-773-6177",
            "fax_number": "207-773-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 FOREST AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041031889",
            "telephone_number": "207-773-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITTO",
        "first_name": "CHRISTINA",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2015-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "OH",
            "license": "30019151G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2140703",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.