Organization Active NPI

Daniel R. Ravin, P.C.

  • Dental Clinic/Center
  • Scarborough, ME
National Provider Identifier
1689887218
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3294 Issued in ME
Legal business name
DANIEL R. RAVIN, P.C.
Practice address
40 Hannaford Dr
Scarborough, ME 04074-9057
Phone
(207) 883-7887
Fax
(207) 883-3202
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Daniel R. Ravin, D.M.D.NPI 1851331250
Title
Owner
Phone
(207) 883-7887

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 3294 ME Primary

Addresses

Primary practice location

40 Hannaford Dr
Scarborough, ME 04074-9057

Mailing address

21 Schooner Rd
Scarborough, ME 04074-8775
Phone (207) 885-0878

Other identifiers 1

IdentifierTypeStateIssuer
1851331250OtherMENPI 1

National Provider Directory

National Provider Directory

Locations

40 Hannaford Dr
Scarborough, ME 04074
Phone (207) 883-7887

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689887218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SCHOONER RD",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748775",
            "telephone_number": "207-885-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 HANNAFORD DR",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749057",
            "telephone_number": "207-883-7887",
            "fax_number": "207-883-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL R. RAVIN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAVIN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-883-7887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ME",
            "license": "3294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI  1",
            "identifier": "1851331250",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.