Active NPI
Layne R Whiteley, D.D.S.
- Dentist
- Bangor, ME
National Provider Identifier
1841503505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4140
- Practice address
- 359 Hammond St
Bangor, ME 04401-4611 - Phone
- (917) 671-6160
- NPI assigned
- Jul 22, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4140 | ME | Primary |
Addresses
Primary practice location
359 Hammond St
Bangor, ME 04401-4611
Mailing address
359 Hammond St
Bangor, ME 04401-4611
Phone (917) 671-6160
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4140 | ME | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hammond Street Dental Care, LLC | Current | Accepting new patients | |
| Mount Desert Island Hospital | Past | Accepting new patients |
Locations
359 Hammond St
Bangor, ME 04401
Phone (207) 942-9821
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/b5eba017-85d4-4b6c-a2f0-9b2c7b0c38dd/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Bangor, ME
- NPI 1871356246
-
- Dental Clinic/Center
- Southwest Harbor, ME
- NPI 1235553413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706745600000",
"number": "1841503505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "359 HAMMOND ST",
"city": "BANGOR",
"state": "ME",
"postal_code": "044014611",
"telephone_number": "917-671-6160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "359 HAMMOND ST",
"city": "BANGOR",
"state": "ME",
"postal_code": "044014611",
"telephone_number": "917-671-6160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITELEY",
"first_name": "LAYNE",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-22",
"last_updated": "2024-02-01",
"certification_date": "2024-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ME",
"license": "4140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.