Mainely Kids & Teens, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

MAINELY KIDS & TEENS, LLC

Practice address

8 Shuman Ave
Augusta, ME 04330-7751

Phone

(207) 974-3018

Fax

(207) 974-3067

NPI assigned

Dec 10, 2019

Organization subpart

Yes

Parent organization

MAINELY KIDS & TEENS, PLLCAs reported in NPPES

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

Authorized official

Name

Jeff Bateman

Title

Ceo

Phone

(207) 974-3018

Specialties & licenses 1

Addresses

Other names 1

• Wee Care Children's Dentistry Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Mainely Kids Teens LLC3 organizations share this tax ID, including this one

Part of

Mainely Kids Teens LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Mainely Kids & Teens, LLC

  • Pediatric Dentistry
  • Brewer, ME
  • NPI 1467835678
  NPD tax ID
• Mainely Kids & Teens, LLC

  • Pediatric Dentistry
  • Rumford, ME
  • NPI 1720796857
  NPD tax ID

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667865600000",
    "number": "1801433750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CUMBERLAND PL STE 116",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015087",
            "telephone_number": "207-974-3018",
            "fax_number": "207-974-3067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 SHUMAN AVE",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043307751",
            "telephone_number": "207-974-3018",
            "fax_number": "207-974-3067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINELY KIDS & TEENS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAINELY KIDS & TEENS, PLLC",
        "enumeration_date": "2019-12-10",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A",
        "authorized_official_last_name": "BATEMAN",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-974-3018"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wee Care Children's Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mainegeneral Medical Center
• Mainegeneral Medical Center
• Mainegeneral Rehabilitation and Long Term Care
• Mainegeneral Rehabilitation and Nursing Care
• Mainely in Home Care
• Christopher B Maiona, M.D.
• Neil Majithia
• E Chin Mak
• Chanice Tyana Makerson
• Sharan Audrey Malinowski, RDH

• Pediatric Dentistry in Augusta, ME
• Providers in Augusta, ME by specialty
• Pediatric Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.