Kristina M Lake Harriman, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4072 Issued in ME

Practice address

471 Sabattus St
Lewiston, ME 04240-4112

Phone

(207) 782-5308

NPI assigned

Jun 17, 2008

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Barbarick & Barbarick DMD PA

  • Dentist
  • Lewiston, ME
  • NPI 1962682344
  NPD (past)
• Maine Dental Group, P.C.

  • General Practice Dentistry
  • Lewiston, ME
  • NPI 1194268268
  NPD (past)

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1508027152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 SABATTUS ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042404112",
            "telephone_number": "207-782-5308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 SABATTUS ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042404112",
            "telephone_number": "207-782-5308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKE HARRIMAN",
        "first_name": "KRISTINA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "4072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lewiston",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "471 Sabattus St",
            "city": "Lewiston",
            "state": "ME",
            "country_code": "US",
            "postal_code": "042404112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• William Keith Lagasse, LCSW
• Kenneth W Lageroos, D.O.
• Lisa Marie Lagrange, FNP
• Stacey A Lagrange, CADC
• Brianna Lajoie
• Sandra Laliberte
• Stephanie Lambert, OT/L
• Jessica Rose Lamie, RNC
• Gail Ann Lamoreau, OTR/L
• Jacob Lamoreau, MD

• General Practice Dentistry in Lewiston, ME
• Providers in Lewiston, ME by specialty
• General Practice Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.