Individual provider Active NPI

Andrew W Rutter, D.D.S.

  • General Practice Dentistry
  • Wells, ME
National Provider Identifier
1942387782
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3542 Issued in NH
Practice address
1662 Post Rd Unit B1
Wells, ME 04090-4638
Phone
(207) 646-2520
NPI assigned
Nov 1, 2006
Last updated
Sep 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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 3542 NH Primary

Addresses

Primary practice location

1662 Post Rd Unit B1
Wells, ME 04090-4638

Mailing address

145 Brewery LN Apt 402
Portsmouth, NH 03801-6910

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address smiles4u@maine.rr.com

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

LicenseStateTypeSpecialty
3542NHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wells Dental PLLC CurrentSince Sep 6, 2020 Accepting new patients
RJP, PLLC PastSince Sep 6, 2020 Accepting new patients

Locations

1662 Post Rd
Unit B1
Wells, ME 04090
Phone (207) 646-2520

Interoperability endpoints

  • Direct secure messaging: smiles4u@maine.rr.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1598918400000",
    "number": "1942387782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 BREWERY LN APT 402",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038016910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1662 POST RD UNIT B1",
            "city": "WELLS",
            "state": "ME",
            "postal_code": "040904638",
            "telephone_number": "207-646-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTTER",
        "first_name": "ANDREW",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "3542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smiles4u@maine.rr.com",
            "affiliation": "N",
            "endpointDescription": "Office email",
            "address_1": "1662 Post Rd Unit B1",
            "city": "Wells",
            "state": "ME",
            "country_code": "US",
            "postal_code": "040904638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wells, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.