Montshire Portland PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MONTSHIRE PORTLAND PC

Practice address

193 Middle St
Portland, ME 04101-4076

Phone

(641) 780-7792

NPI assigned

Oct 23, 2024

Last updated

Oct 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Colin BoswellNPI 1124486675

Title

Owner

Phone

(641) 780-7792

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Colin Boswell, DDS

  • Pediatric Dentistry
  • Shawnee Mission, KS
  • NPI 1124486675
  Authorized official Same address or phone

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1710708649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 MIDDLE ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 MIDDLE ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014076",
            "telephone_number": "641-780-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTSHIRE PORTLAND PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "BOSWELL",
        "authorized_official_first_name": "COLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "641-780-7792"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Lenore Montgomery, PSYD
• Mary Elizabeth Montgomery, LCPC
• Paul Montgomery, MA
• Rebecca Monti
• Erika Rachelle Montoya, PHARMD
• Terry Lynn Mooers, PMHNP
• Risa Moon, LCSW
• Brian D Moore, M.D.
• Jeffrey K Moore, MD
• Jennifer D Mora, NP

• Dental Clinic/Center in Portland, ME
• Providers in Portland, ME by specialty
• Dental Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.