Individual provider Active NPI

Peter Jules Garramore, DMD

  • General Practice Dentistry
  • Scarborough, ME
National Provider Identifier
1881617165
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3180 Issued in ME
Practice address
9 Laurel Ridge Rd
Scarborough, ME 04074-9641
Phone
(207) 590-2698
NPI assigned
Jul 26, 2006
Last updated
Aug 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3180 ME Primary

Addresses

Primary practice location

9 Laurel Ridge Rd
Scarborough, ME 04074-9641

Mailing address

9 Laurel Ridge Rd
Scarborough, ME 04074-9641
Phone (207) 590-2698

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
I20150227001327 ME Order and Referring Only - DentistPractitioner - Dentist 6800112327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3180MEMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1881617165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 LAUREL RIDGE RD",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749641",
            "telephone_number": "207-590-2698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 LAUREL RIDGE RD",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749641",
            "telephone_number": "207-590-2698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRAMORE",
        "first_name": "PETER",
        "middle_name": "JULES",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "3180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

Verify at the official NPI Registry.