Individual provider Active NPI

Thomas Guerrette

  • Public Health Dentistry
  • Springvale, ME
National Provider Identifier
1821658667
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
DEN4721 Issued in LA
Practice address
15 Oak St
Springvale, ME 04083-1926
Phone
(207) 490-6900
NPI assigned
Jun 14, 2019
Last updated
Jul 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 04494 NH
Public Health Dentistry 1223D0001X DEN4721 LA Primary

Addresses

Primary practice location

15 Oak St
Springvale, ME 04083-1926

Mailing address

15 Oak St
Springvale, ME 04083-1926
Phone (207) 490-6900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230612001464 ME Practitioner - Dentist 7012385719 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04494NHMDDentist
DEN4721LAMDPublic Health Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
York County Community Action Corp CurrentSince May 6, 2023 Accepting new patients
York County Community Action Corp CurrentSince May 6, 2023 Accepting new patients
Lifetime Dental Professionals of New Hampshire, P.C. Past Accepting new patients
Parsio-Osorio Dental PLLC Dentist Past Accepting new patients

Locations

15 Oak St
Springvale, ME 04083
Phone (207) 490-6900

Interoperability endpoints

  • Direct secure messaging: thomas.guerrette.p1@direct.nassonhealthcare.nextgenshare.com

Organizations & group practices 4

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": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1821658667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 OAK ST",
            "city": "SPRINGVALE",
            "state": "ME",
            "postal_code": "040831926",
            "telephone_number": "207-490-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 OAK ST",
            "city": "SPRINGVALE",
            "state": "ME",
            "postal_code": "040831926",
            "telephone_number": "207-490-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRETTE",
        "first_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-14",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NH",
            "license": "04494",
            "primary": false
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "LA",
            "license": "DEN4721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springvale, ME

Sources for this page

Verify at the official NPI Registry.