Individual provider Active NPI

Alex Hutcheon, DDS

  • General Practice Dentistry
  • Yarmouth, ME
National Provider Identifier
1912088733
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3345 Issued in ME
Practice address
70 Bayview Street
Yarmouth, ME 04096-6993
Phone
(207) 846-0979
Fax
(207) 846-5266
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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 3345 ME Primary

Addresses

Primary practice location

70 Bayview Street
Yarmouth, ME 04096-6993

Mailing address

247 Portland St
Ste 900
Yarmouth, ME 04096-8130
Phone (207) 846-0979

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
I20160413000565 ME Order and Referring Only - DentistPractitioner - Dentist 5294033973

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3345MEMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456876800000",
    "number": "1912088733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 PORTLAND ST",
            "address_2": "STE 900",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040968130",
            "telephone_number": "207-846-0979",
            "fax_number": "207-846-5266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 BAYVIEW STREET",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966993",
            "telephone_number": "207-846-0979",
            "fax_number": "207-846-5266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHEON",
        "first_name": "ALEX",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2016-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "3345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yarmouth, ME

Sources for this page

Verify at the official NPI Registry.