Organization Active NPI

Northern Maine Dental, LLC

  • General Practice Dentistry
  • Caribou, ME
National Provider Identifier
1720640717
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NORTHERN MAINE DENTAL, LLC
Practice address
157 Main St
Caribou, ME 04736-4160
Phone
(207) 492-9521
Fax
(207) 492-1497
NPI assigned
Jul 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2019

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

Authorized official

Name
Dr. Meagan Thompson, DMDNPI 1518496553
Title
Owner
Phone
(207) 492-9521

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
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

157 Main St
Caribou, ME 04736-4160

Mailing address

157 Main St
Caribou, ME 04736-4160
Phone (207) 492-9521

Other identifiers 1

IdentifierTypeStateIssuer
1518496553OtherMENPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address meagan@drsmiththompson.com Direct

National Provider Directory

National Provider Directory

Locations

157 Main St
Caribou, ME 04736
Phone (207) 492-9521

Practitioners & affiliated clinicians

Practitioners 2

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": "1561939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561939200000",
    "number": "1720640717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 MAIN ST",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047364160",
            "telephone_number": "207-492-9521",
            "fax_number": "207-492-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 MAIN ST",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047364160",
            "telephone_number": "207-492-9521",
            "fax_number": "207-492-1497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN MAINE DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-07-01",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "MEAGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-492-9521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1518496553",
            "state": "ME"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "meagan@drsmiththompson.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA secured email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "157 Main St",
            "city": "Caribou",
            "state": "ME",
            "country_code": "US",
            "postal_code": "047364160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Caribou, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; 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.