Active NPI
Aaron James Palmer Sr., D.M.D
- Dentist
- Ellsworth, ME
National Provider Identifier
1639336902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN4082
- Practice address
- 382 State St
Ellsworth, ME 04605-3330 - Phone
- (207) 664-2474
- Fax
- (207) 692-0098
- NPI assigned
- May 22, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DEN4082 | ME | Primary |
Addresses
Primary practice location
382 State St
Ellsworth, ME 04605-3330
Mailing address
PO Box 611
Ellsworth, ME 04605-0611
Phone (207) 664-2474
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN4082 | ME | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smile Design Ellsworth, PC | Past | 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 and National Provider Directory roles.
-
- Dental Clinic/Center
- Ellsworth, ME
- NPI 1346687621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554940800000",
"number": "1639336902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 611",
"city": "ELLSWORTH",
"state": "ME",
"postal_code": "046050611",
"telephone_number": "207-664-2474",
"fax_number": "207-692-0098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "382 STATE ST",
"city": "ELLSWORTH",
"state": "ME",
"postal_code": "046053330",
"telephone_number": "207-664-2474",
"fax_number": "207-692-0098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "AARON",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-22",
"last_updated": "2019-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ME",
"license": "DEN4082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellsworth, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.