Individual provider Active NPI

Philip Wayne Higgins Jr., DMD

  • General Practice Dentistry
  • Rockport, ME
National Provider Identifier
1528081312
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2771 Issued in ME
Practice address
9 Applewood Rd
Rockport, ME 04856-5375
Phone
(207) 236-0899
Fax
(207) 236-8338
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2771 ME Primary

Addresses

Primary practice location

9 Applewood Rd
Rockport, ME 04856-5375

Mailing address

9 Applewood Rd
Rockport, ME 04856-5375
Phone (207) 236-0899

Other identifiers 1

IdentifierTypeStateIssuer
163510000MedicaidME

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150318002462 ME Practitioner - Oral Surgery 7315164969 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Aug 1, 2018 Accepting new patients
Applewood Dental General Practice PastSince Sep 13, 2020 Accepting new patients
Applewood Dental, PA Past Accepting new patients

Locations

118 Northport Ave
Belfast, ME 04915
Phone (207) 338-9345

116 Northport Ave
Ste 220
Belfast, ME 04915
Phone (207) 505-4015

Interoperability endpoints

  • Direct secure messaging: phiggins225835@direct.mmc.mainehealth.org

Organizations & group practices 3

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1528081312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 APPLEWOOD RD",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048565375",
            "telephone_number": "207-236-0899",
            "fax_number": "207-236-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 APPLEWOOD RD",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048565375",
            "telephone_number": "207-236-0899",
            "fax_number": "207-236-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINS",
        "first_name": "PHILIP",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "2771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163510000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockport, ME

Sources for this page

Verify at the official NPI Registry.