Organization Active NPI

Paradigm Dental PC

Doing business as Camden Hills Dental Care

  • General Practice Dentistry
  • Rockport, ME
National Provider Identifier
1699245589
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PARADIGM DENTAL PC
Doing business as
Camden Hills Dental Care
Practice address
10 Granite Way
Rockport, ME 04856-5747
Phone
(207) 236-2400
NPI assigned
Dec 4, 2018
Last updated
Mar 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Authorized official

Name
Dr. Adam Elwood L'Italien, DMDNPI 1194253690
Title
Owner
Phone
(207) 951-0712

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

10 Granite Way
Rockport, ME 04856-5747

Mailing address

10 Granite Way
Rockport, ME 04856-5747
Phone (207) 236-2400

Other names 1

  • Camden Hills Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

10 Granite Way
Rockport, ME 04856
Phone (207) 236-2400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583366400000",
    "number": "1699245589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 GRANITE WAY",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048565747",
            "telephone_number": "207-236-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 GRANITE WAY",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048565747",
            "telephone_number": "207-236-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADIGM DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-04",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A",
        "authorized_official_last_name": "L'ITALIEN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "ELWOOD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-951-0712",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camden Hills Dental Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Camden Hills Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockport, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.