Smile Patrol

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

2433 Issued in ME

Legal business name

SMILE PATROL

Practice address

2 Mathews Road
Monson, ME 04464-0000

Phone

(207) 997-2936

Fax

(207) 997-2936

NPI assigned

Dec 13, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Chandra Weymouth Kane, RDH, PHSNPI 1215264981

Title

Owner

Phone

(207) 717-8272

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chandra W. Kane, RDH

  • Dental Hygienist
  • Monson, ME
  • NPI 1215264981
  NPD (past) Authorized official

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1851694996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1386",
            "city": "GREENVILLE",
            "state": "ME",
            "postal_code": "044411386",
            "telephone_number": "207-717-8272",
            "fax_number": "207-997-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MATHEWS ROAD",
            "city": "MONSON",
            "state": "ME",
            "postal_code": "044640000",
            "telephone_number": "207-997-2936",
            "fax_number": "207-997-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE PATROL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_middle_name": "WEYMOUTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-717-8272",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RDH, PHS"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "ME",
            "license": "2433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAINECARE",
            "identifier": "434557000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - INDIVIDUAL",
            "identifier": "1215264981",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy A. Cassella, M.N.
• Chandra W. Kane, RDH
• Dan Tyler

• Dental Hygienist in Monson, ME
• Providers in Monson, ME by specialty
• Dental Hygienist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.