Active NPI
Alicia T Sousa, RDH
- Dental Hygienist
- Old Orchard Beach, ME
National Provider Identifier
1962877910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- RDH3843
- Practice address
- 85 Ross Rd
Old Orchard Beach, ME 04064-4111 - Phone
- (207) 432-3188
- NPI assigned
- Dec 2, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | RDH3843 | ME | Primary |
Addresses
Primary practice location
85 Ross Rd
Old Orchard Beach, ME 04064-4111
Mailing address
85 Ross Rd
Old Orchard Beach, ME 04064-4111
Phone (207) 432-3188
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 |
|---|---|---|---|
| RDH3843 | ME | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449014400000",
"number": "1962877910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 ROSS RD",
"city": "OLD ORCHARD BEACH",
"state": "ME",
"postal_code": "040644111",
"telephone_number": "207-432-3188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 ROSS RD",
"city": "OLD ORCHARD BEACH",
"state": "ME",
"postal_code": "040644111",
"telephone_number": "207-432-3188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUSA",
"first_name": "ALICIA",
"middle_name": "T",
"name_prefix": "Miss",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-02",
"last_updated": "2015-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "ME",
"license": "RDH3843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Old Orchard Beach, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.