Active NPI
Daniel R. Ravin, P.C.
- Dental Clinic/Center
- Scarborough, ME
National Provider Identifier
1689887218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 3294
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851331250 | Other | ME | NPI 1 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dentist
- Scarborough, ME
- NPI 1851331250
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.