Individual provider Active NPI

Dale Allen Adishian, MD

  • Orthopaedic Surgery Physician
  • Coupeville, WA
National Provider Identifier
1497785612
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD61059386 Issued in WA
Practice address
205 S Main St Ste a
Coupeville, WA 98239-3635
Phone
(360) 240-4013
Fax
(360) 678-5161
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD61059386 WA Primary

Addresses

Primary practice location

205 S Main St Ste a
Coupeville, WA 98239-3635

Mailing address

205 S Main St Ste a
Coupeville, WA 98239-3635
Phone (360) 240-4013

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
I20200326003356 ME Practitioner - Orthopedic Surgery 2567405582 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11500MTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Apr 1, 2020 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Apr 1, 2020 Accepting new patients
Livingston Healthcare Past Accepting new patients
North Valley Orthopaedic Medical Group, Inc Orthopaedic Surgery Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

181 Franklin Health Cmns
Farmington, ME 04938
Phone (207) 778-3326

111 Franklin Health Cmns
Farmington, ME 04938
Phone (207) 778-3326

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

Interoperability endpoints

  • Direct secure messaging: dale.adishian@wh.jhie.net

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1497785612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S MAIN ST STE A",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982393635",
            "telephone_number": "360-240-4013",
            "fax_number": "360-678-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S MAIN ST STE A",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982393635",
            "telephone_number": "360-240-4013",
            "fax_number": "360-678-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADISHIAN",
        "first_name": "DALE",
        "middle_name": "ALLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WA",
            "license": "MD61059386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coupeville, WA

Sources for this page

Verify at the official NPI Registry.