Cynthia Austin – Dental Hygienist in Waterville, ME

Key facts

NPI: 1710375464
Entity type: Individual (NPI type 1)
Primary specialty: Dental Hygienist 124Q00000X
License: IPH81 (ME)
Practice address: 81 Western Ave
Waterville, ME 04901-7338
Phone: (207) 861-8080
NPI assigned: Jan 5, 2015
Sex: Female
Sole proprietor: Yes

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
IPH81	ME	MD	Dental Hygienist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Dental Hygienist	124Q00000X	IPH81	ME	Yes

Addresses

Primary practice location

81 Western Ave
Waterville, ME 04901-7338

Mailing address

81 Western Ave
Waterville, ME 04901-7338
Phone (207) 861-8080

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 5, 2015.

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420416000000",
    "number": "1710375464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 WESTERN AVE",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049017338",
            "telephone_number": "207-861-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 WESTERN AVE",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049017338",
            "telephone_number": "207-861-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "CYNTHIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-05",
        "last_updated": "2015-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "ME",
            "license": "IPH81",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterville, ME

All providers in Waterville, ME · Dental Hygienist in Maine

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2015. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.