NPIMap

Organization Active NPI

Portland Smiles PA

  • Dentist
  • Portland, ME
National Provider Identifier
1699150706
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4433 Issued in ME
Legal business name
PORTLAND SMILES PA
Practice address
2401 Congress St
Portland, ME 04102-1970
Phone
(207) 773-2111
NPI assigned
Jul 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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

Authorized official

Name
Dr. Kathryn Buss, DDSNPI 1578874129
Title
Dentist
Phone
(207) 773-2111

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 4433 ME Primary

Addresses

Primary practice location

2401 Congress St
Portland, ME 04102-1970

Mailing address

2401 Congress St
Portland, ME 04102-1970

National Provider Directory

National Provider Directory

Locations

2401 Congress St
Portland, ME 04102
Phone (207) 773-2111

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": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1699150706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 CONGRESS ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041021970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 CONGRESS ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041021970",
            "telephone_number": "207-773-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND SMILES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-30",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "BUSS",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "207-773-2111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "ME",
            "license": "4433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.