Active NPI
Stephanie Fortier
- Dental Hygienist
- Cape Elizabeth, ME
National Provider Identifier
1609447689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- Practice address
- 155 Spurwink Ave
Cape Elizabeth, ME 04107-9604 - Phone
- (207) 767-3241
- NPI assigned
- Jul 9, 2021
- Last updated
- Jul 9, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | NU | Primary |
Addresses
Primary practice location
155 Spurwink Ave
Cape Elizabeth, ME 04107-9604
Mailing address
155 Spurwink Ave
Cape Elizabeth, ME 04107-9604
Phone (207) 767-3241
Other practice location 1
161 Saco Ave Unit 209
Old Orchard Beach, ME 04064-1657
Phone (207) 590-9837
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625788800000",
"number": "1609447689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 SPURWINK AVE",
"city": "CAPE ELIZABETH",
"state": "ME",
"postal_code": "041079604",
"telephone_number": "207-767-3241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 SPURWINK AVE",
"city": "CAPE ELIZABETH",
"state": "ME",
"postal_code": "041079604",
"telephone_number": "207-767-3241"
}
],
"practiceLocations": [
{
"address_1": "161 Saco Ave Unit 209",
"address_purpose": "LOCATION",
"city": "Old Orchard Beach",
"state": "ME",
"postal_code": "040641657",
"country_code": "US",
"telephone_number": "207-590-9837",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FORTIER",
"first_name": "STEPHANIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-09",
"last_updated": "2021-07-09",
"certification_date": "2021-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cape Elizabeth, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.