NPIMap

Organization Active NPI

The Opportunity Alliance

  • Dental Hygienist
  • S Portland, ME
National Provider Identifier
1962984872
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
Legal business name
THE OPPORTUNITY ALLIANCE
Practice address
50 Lydia LN
S Portland, ME 04106-2156
Phone
(207) 874-1055
NPI assigned
Sep 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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

Authorized official

Name
Lauren Hawley
Title
Revenue Manager
Phone
(207) 523-5018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X Primary

Addresses

Primary practice location

50 Lydia LN
S Portland, ME 04106-2156

Mailing address

50 Lydia LN
S Portland, ME 04106-2156

Other identifiers 1

IdentifierTypeStateIssuer
1942328356MedicaidME

National Provider Directory

National Provider Directory
Tax ID family
The Opportunity Alliance6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536192000000",
    "number": "1962984872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 LYDIA LN",
            "city": "S PORTLAND",
            "state": "ME",
            "postal_code": "041062156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 LYDIA LN",
            "city": "S PORTLAND",
            "state": "ME",
            "postal_code": "041062156",
            "telephone_number": "207-874-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OPPORTUNITY ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A",
        "authorized_official_last_name": "HAWLEY",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "REVENUE MANAGER",
        "authorized_official_telephone_number": "207-523-5018"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942328356",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in S Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.