Randall Peter Cutri, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

ME3376 Issued in ME

Practice address

27 Western Ave
Hampden, ME 04444-1422

Phone

(207) 862-2600

Fax

(207) 862-2602

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

No

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.

• State Street Dental Care, P.a.

  • Dental Clinic/Center
  • Augusta, ME
  • NPI 1205597184
  NPD Authorized official
• Hampden Family Dentistry, P.a.

  • Dentist
  • Hampden, ME
  • NPI 1730102138
  NPD (past) Authorized official

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497779052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 WESTERN AVE",
            "city": "HAMPDEN",
            "state": "ME",
            "postal_code": "044441422",
            "telephone_number": "207-862-2600",
            "fax_number": "207-862-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 WESTERN AVE",
            "city": "HAMPDEN",
            "state": "ME",
            "postal_code": "044441422",
            "telephone_number": "207-862-2600",
            "fax_number": "207-862-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTRI",
        "first_name": "RANDALL",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ME",
            "license": "ME3376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherri Dee Clark
• Trystan Morgan Collett, PA-C
• Suzanne Corson
• Ann Marie Covey, PT
• Caroline M Cox, LCSW
• Designing Fitness
• Jennifer Desisto, O.T.
• Khanh Nguyen Doan, DMD
• Mark Dominique, PHARM.D, LCSW
• Elevate Psychotherapy LLC

• All providers in Hampden, ME
• Dentist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.