Active NPI
Anna Virginia O'Keefe, DMD
- Dentist
- Waterville, ME
National Provider Identifier
1558655597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN4189
- Practice address
- 93 Main St
Suite 15
Waterville, ME 04901-6636 - Phone
- (207) 872-8891
- Fax
- (207) 872-0946
- NPI assigned
- Jun 7, 2011
- Last updated
- Dec 17, 2012
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DEN4189 | ME | Primary |
Addresses
Primary practice location
93 Main St
Suite 15
Waterville, ME 04901-6636
Mailing address
93 Main St
Suite 15
Waterville, ME 04901-6636
Phone (207) 872-8891
Other names 1
- Dr. Anna Virginia Czechowski
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN4189 | ME | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Snow Pond Dentistry | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Oakland, ME
- NPI 1083567135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355702400000",
"number": "1558655597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "93 MAIN ST",
"address_2": "SUITE 15",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049016636",
"telephone_number": "207-872-8891",
"fax_number": "207-872-0946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "93 MAIN ST",
"address_2": "SUITE 15",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049016636",
"telephone_number": "207-872-8891",
"fax_number": "207-872-0946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'KEEFE",
"first_name": "ANNA",
"middle_name": "VIRGINIA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-07",
"last_updated": "2012-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ME",
"license": "DEN4189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNA",
"last_name": "CZECHOWSKI",
"middle_name": "VIRGINIA",
"prefix": "DR.",
"credential": "DMD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Waterville, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.