Active NPI
Brian Wroble, DMD
- Dentist
- Farmington, ME
National Provider Identifier
1922396498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4202
- Practice address
- 131 Franklin Health CMNS
Farmington, ME 04938-6142 - Phone
- (207) 874-1025
- NPI assigned
- Jul 18, 2011
- 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 | 4202 | ME | Primary |
Addresses
Primary practice location
131 Franklin Health CMNS
Farmington, ME 04938-6142
Mailing address
276 Canco Rd
Portland, ME 04103-4303
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170829004154 | ME | Order and Referring Only - Dentist | 0648543421 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4202 | ME | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310947200000",
"number": "1922396498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "276 CANCO RD",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041034303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 FRANKLIN HEALTH CMNS",
"city": "FARMINGTON",
"state": "ME",
"postal_code": "049386142",
"telephone_number": "207-874-1025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WROBLE",
"first_name": "BRIAN",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-18",
"last_updated": "2011-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ME",
"license": "4202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.