207 Periodontics, PLLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

207 PERIODONTICS, PLLC

Practice address

595 Brighton Ave
Portland, ME 04102-2322

Phone

(207) 774-1471

Fax

(207) 774-1472

NPI assigned

Feb 25, 2022

Last updated

Feb 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kara Achille, DMDNPI 1487051686

Title

Owner Dentist

Phone

(207) 774-1471

Specialties & licenses 1

Addresses

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.

• Kara Achille, DMD

  • Periodontics
  • Portland, ME
  • NPI 1487051686
  NPD Authorized official

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1629724877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 BRIGHTON AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022322",
            "telephone_number": "207-774-1471",
            "fax_number": "207-774-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 BRIGHTON AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022322",
            "telephone_number": "207-774-1471",
            "fax_number": "207-774-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "207 PERIODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "ACHILLE",
        "authorized_official_first_name": "KARA",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "207-774-1471",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• -
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• A Better Way Chiropractic

• Periodontics in Portland, ME
• Providers in Portland, ME by specialty
• Periodontics in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.