Peter G. Vayanos, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN4132 Issued in ME

Practice address

98 Silver Street
Waterville, ME 04901-5935

Phone

(207) 873-2073

Fax

(207) 873-0697

NPI assigned

Mar 29, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2016 through Jan 1, 2028

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.

• Esthetic and Reconstructive Dentistry

  • Dental Clinic/Center
  • Waterville, ME
  • NPI 1578735320
  NPD (past)

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269820800000",
    "number": "1518282003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 SILVER STREET",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015935",
            "telephone_number": "207-873-2073",
            "fax_number": "207-873-0697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 SILVER STREET",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015935",
            "telephone_number": "207-873-2073",
            "fax_number": "207-873-0697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAYANOS",
        "first_name": "PETER",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-29",
        "last_updated": "2010-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "DEN4132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAINE DENTAL LICENSE NUMBER",
            "identifier": "DEN4132",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Vaillancourt, PHARMACIST
• John Van Der Karr
• Christie-Jo Vanamburg, RN
• Ayla C Vanclief, M.S., CCC-SLP
• Vassalboro Community School
• Anna B Veach, DO
• Julia E Vicaire, LCSW
• Veronika Vogt, N.P.
• Elizabeth A Voigt-McCue, LCSW
• Wal-Mart Stores East LP

• All providers in Waterville, ME
• General Practice Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.