Active NPI
Elizabeth Joseph, DDS, MA
- Dentist
- Kittery, ME
National Provider Identifier
1548798804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 16401
- Practice address
- 402 Goodrich Avenue
Kittery, ME 03904 - Phone
- (207) 438-1714
- NPI assigned
- May 31, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 16401 | MD | Primary |
| General Practice Dentistry | 1223G0001X | DN10000481 | MA | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
402 Goodrich Avenue
Kittery, ME 03904
Mailing address
402 Goodrich Avenue
Kittery, ME 03904
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VAD0000 | Medicaid | CA |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16401 | MD | MD | Dentist |
| DN10000481 | MA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761091200000",
"number": "1548798804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 GOODRICH AVENUE",
"city": "KITTERY",
"state": "ME",
"postal_code": "03904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 GOODRICH AVENUE",
"city": "KITTERY",
"state": "ME",
"postal_code": "03904",
"telephone_number": "207-438-1714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "DDS, MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-31",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "16401",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "DN10000481",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "VAD0000",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kittery, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.