Organization Active NPI

Androscoggin Orthodontics, P.a.

  • Dental Clinic/Center
  • Auburn, ME
National Provider Identifier
1588078505
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DEN4352 Issued in ME
Legal business name
ANDROSCOGGIN ORTHODONTICS, P.A.
Practice address
1 Willow Run
Auburn, ME 04210-8501
Phone
(207) 784-8587
Fax
(207) 777-5251
NPI assigned
Jun 18, 2014
Last updated
Jun 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

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

Authorized official

Name
Dr. Thomas John Bauer, D.D.S.
Title
Owner
Phone
(207) 784-8587

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DEN4352 ME Primary

Addresses

Primary practice location

1 Willow Run
Auburn, ME 04210-8501

Mailing address

1 Willow Run
Auburn, ME 04210-8501
Phone (207) 784-8587

National Provider Directory

National Provider Directory

Locations

1 Willow Run
Auburn, ME 04210
Phone (207) 784-8587

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1588078505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WILLOW RUN",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042108501",
            "telephone_number": "207-784-8587",
            "fax_number": "207-777-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WILLOW RUN",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042108501",
            "telephone_number": "207-784-8587",
            "fax_number": "207-777-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDROSCOGGIN ORTHODONTICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-18",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-784-8587",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ME",
            "license": "DEN4352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; 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.