Corey Riemersma

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN4985 Issued in ME

Practice address

819 Commercial St
Rockport, ME 04856-4243

Phone

(207) 292-4027

NPI assigned

Sep 12, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Penbay Dental LLC

  • Dental Clinic/Center
  • Rockport, ME
  • NPI 1417538240
  NPD

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1689396129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 LINDSEY ST APT 7",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048412954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 COMMERCIAL ST",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048564243",
            "telephone_number": "207-292-4027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEMERSMA",
        "first_name": "COREY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "DEN4985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly L. Reynolds, M.S.P.T.
• Danielle Rice, APRN
• Richard J Kahn M.D.
• Krista Lynn Rideout, LMT
• Russell August Riehl, MD, MPH
• Michael Rioux, P.T., D.P.T
• Tristen Dennis Ripley, MD
• Robert N. Merrill, MD
• Robert P Laurence MD PA
• Rockport Family Chiropractic, P.a.

• General Practice Dentistry in Rockport, ME
• Providers in Rockport, ME by specialty
• General Practice Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.