Organization Active NPI

The Root Cellar

  • Public Health or Welfare Agency
  • Portland, ME
National Provider Identifier
1932431798
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
2684 Issued in ME
Legal business name
THE ROOT CELLAR
Practice address
94 Washington St.
Portland, ME 04104
Phone
(207) 774-3197
Fax
(207) 874-0140
NPI assigned
Feb 4, 2010
Last updated
Feb 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Authorized official

Name
Dr. Joseph A Iriana, DDS
Title
Dentist
Phone
(207) 774-3197

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 2684 ME Primary

Addresses

Primary practice location

94 Washington St.
Portland, ME 04104

Mailing address

94 Washinton St.
Portland, ME 04104
Phone (207) 774-3197

National Provider Directory

National Provider Directory

Locations

94 Washington Ave
Portland, ME 04101
Phone (207) 774-3197

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1932431798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 WASHINTON ST.",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04104",
            "telephone_number": "207-774-3197",
            "fax_number": "207-874-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 WASHINGTON ST.",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04104",
            "telephone_number": "207-774-3197",
            "fax_number": "207-874-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ROOT CELLAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-04",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "IRIANA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "207-774-3197",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "ME",
            "license": "2684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.