Alyssa Marion Bigos, RDH, BSDH

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

RDH4435 Issued in ME

Practice address

94 Washington Ave
Portland, ME 04101-2630

Phone

(207) 808-9498

NPI assigned

Aug 11, 2022

Last updated

Aug 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mainely Smiles

  dba Mainely Teeth

  • Public Health Dentistry
  • Portland, ME
  • NPI 1992391536

  Dental Public Health

  NPD (past)

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1730817339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 W GRAND AVE APT 77",
            "city": "OLD ORCHARD BEACH",
            "state": "ME",
            "postal_code": "040643128",
            "telephone_number": "978-888-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 WASHINGTON AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012630",
            "telephone_number": "207-808-9498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIGOS",
        "first_name": "ALYSSA",
        "middle_name": "MARION",
        "name_prefix": "Miss",
        "credential": "RDH, BSDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "ME",
            "license": "RDH4435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992391536",
            "state": "ME"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.mainelyteeth.com",
            "affiliation": "N",
            "endpointDescription": "WEBSITE URL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Address",
            "address_1": "166 Regan Ln",
            "city": "Portland",
            "state": "ME",
            "country_code": "US",
            "postal_code": "041032035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maxwell William Bieber, PT, DPT
• Michael Vernon Biederman, LCPC
• Big Feelings Counseling LLC
• David Artwell Bigelow, M.A. LADC
• Heather Marie Biggar, LCSW
• Steve Bijoga
• Alexandra Leigh Billert
• Nancy Bills, LCSW
• Sean Michael Bilodeau, DO
• Emmanuel Bimenyimana

• Public Health Dentistry in Portland, ME
• Providers in Portland, ME by specialty
• Public Health Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.