Active NPI
Edward Paul Roy, D.M.D.
- General Practice Dentistry
- Brunswick, ME
National Provider Identifier
1932286143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2422
- Practice address
- 39 Baribeau Dr
Brunswick, ME 04011-3242 - Phone
- (207) 729-4144
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2422 | ME | Primary |
Addresses
Primary practice location
39 Baribeau Dr
Brunswick, ME 04011-3242
Mailing address
39 Baribeau Dr
Brunswick, ME 04011-3242
Phone (207) 729-4144
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2422 | Other | ME | STATE LICENSE NUMBER |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2422 | ME | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1932286143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 BARIBEAU DR",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040113242",
"telephone_number": "207-729-4144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 BARIBEAU DR",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040113242",
"telephone_number": "207-729-4144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROY",
"first_name": "EDWARD",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "ME",
"license": "2422",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "2422",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brunswick, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.