NPIMap

Organization Active NPI

Peter J Repole, DMD, PC

  • Dentist
  • Eastport, ME
National Provider Identifier
1942646880
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN4281 Issued in ME
Legal business name
PETER J REPOLE, DMD, PC
Practice address
30 Deep Cove Rd
Eastport, ME 04631-3221
Phone
(207) 853-6601
Fax
(207) 853-6603
NPI assigned
May 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2013

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

Authorized official

Name
Peter John Repole, DMD
Title
Owner
Phone
(207) 853-6601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DEN4281 ME Primary

Addresses

Primary practice location

30 Deep Cove Rd
Eastport, ME 04631-3221

Mailing address

30 Deep Cove Rd
Eastport, ME 04631-3221
Phone (207) 853-6601

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369008000000",
    "number": "1942646880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 DEEP COVE RD",
            "city": "EASTPORT",
            "state": "ME",
            "postal_code": "046313221",
            "telephone_number": "207-853-6601",
            "fax_number": "207-853-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 DEEP COVE RD",
            "city": "EASTPORT",
            "state": "ME",
            "postal_code": "046313221",
            "telephone_number": "207-853-6601",
            "fax_number": "207-853-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER J REPOLE, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-20",
        "last_updated": "2013-05-20",
        "status": "A",
        "authorized_official_last_name": "REPOLE",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-853-6601",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "ME",
            "license": "DEN4281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastport, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.