Individual provider Active NPI

James Michael Sevey, DMD

  • General Practice Dentistry
  • Bangor, ME
National Provider Identifier
1558463901
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3269 Issued in ME
Practice address
1407 Broadway
Bangor, ME 04401-2403
Phone
(207) 942-3000
Fax
(207) 992-4054
NPI assigned
Sep 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 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 3269 ME Primary

Addresses

Primary practice location

1407 Broadway
Bangor, ME 04401-2403

Mailing address

1407 Broadway
Bangor, ME 04401-2403
Phone (207) 942-3000

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3269MEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Dental LLC General Practice PastSince May 19, 2024 Accepting new patients
Creative Dental Solutions LLC, P.a. PastSince Oct 5, 2007 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1558463901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 BROADWAY",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044012403",
            "telephone_number": "207-942-3000",
            "fax_number": "207-992-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 BROADWAY",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044012403",
            "telephone_number": "207-942-3000",
            "fax_number": "207-992-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVEY",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "3269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.