Individual provider Active NPI

Katherine Paret, DMD

  • Dentist
  • South Portland, ME
National Provider Identifier
1760817159
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN4418 Issued in ME
Practice address
225 Waterman Dr
South Portland, ME 04106-3634
Phone
(207) 200-4106
NPI assigned
Sep 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN4418 ME Primary
Dentist 122300000X DGD.8275 GD SC

Addresses

Primary practice location

225 Waterman Dr
South Portland, ME 04106-3634

Mailing address

61 Ocean View Ave
South Portland, ME 04106-3010
Phone (207) 747-7369

Other practice location 1

85 Western Ave
South Portland, ME 04106-2423
Phone (207) 200-4106

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DEN4418MEMDDentist
DGD.8275 GDSCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Your Mouth, PA, LLC CurrentSince Sep 5, 2021 Accepting new patients

Locations

225 Waterman Dr
#2
South Portland, ME 04106
Phone (207) 200-4106

85 Western Ave
South Portland, ME 04106
Phone (207) 408-0479

225 Waterman Dr
South Portland, ME 04106
Phone (207) 200-4106

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1760817159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 OCEAN VIEW AVE",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063010",
            "telephone_number": "207-747-7369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 WATERMAN DR",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063634",
            "telephone_number": "207-200-4106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 Western Ave",
            "address_purpose": "LOCATION",
            "city": "South Portland",
            "state": "ME",
            "postal_code": "041062423",
            "country_code": "US",
            "telephone_number": "207-200-4106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARET",
        "first_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-05",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ME",
            "license": "DEN4418",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "DGD.8275 GD",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.