Active NPI
Jennifer Carr Wilber, RDH
- Dental Hygienist
- Eliot, ME
National Provider Identifier
1508259151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 1547
- Practice address
- 17 Levesque Drive
Suite 3
Eliot, ME 03903 - Phone
- (207) 439-0779
- Fax
- (207) 439-0883
- NPI assigned
- Mar 6, 2015
- Last updated
- Mar 6, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 1547 | NH | Primary |
Addresses
Primary practice location
17 Levesque Drive
Suite 3
Eliot, ME 03903
Mailing address
17 Levesque Drive
Suite 3
Eliot, ME 03903
Phone (207) 439-0779
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 |
|---|---|---|---|
| 1547 | NH | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blatt Family Dental, P.C. | Past | Accepting new patients | |
| Haskell C. Kingston D.M.D.,P.a. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Kingston Family Dental
- General Practice Dentistry
- Eliot, ME
- NPI 1073911400
-
- General Practice Dentistry
- Eliot, ME
- NPI 1265554141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425600000000",
"number": "1508259151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 LEVESQUE DRIVE",
"address_2": "SUITE 3",
"city": "ELIOT",
"state": "ME",
"postal_code": "03903",
"telephone_number": "207-439-0779",
"fax_number": "207-439-0883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 LEVESQUE DRIVE",
"address_2": "SUITE 3",
"city": "ELIOT",
"state": "ME",
"postal_code": "03903",
"telephone_number": "207-439-0779",
"fax_number": "207-439-0883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILBER",
"first_name": "JENNIFER",
"middle_name": "CARR",
"name_prefix": "Mrs.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-06",
"last_updated": "2015-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NH",
"license": "1547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eliot, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.