Blair Vannostrand, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3805 Issued in ME

Practice address

21 Northbrook Dr
Falmouth, ME 04105-1346

Phone

(207) 781-2328

NPI assigned

Jun 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Falmouth Dental Health

  • General Practice Dentistry
  • Falmouth, ME
  • NPI 1295853315
  NPD (past)
• Falmouth Dental Health PLLC

  • General Practice Dentistry
  • Falmouth, ME
  • NPI 1053070417
  NPD (past)

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982800629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 NORTHBROOK DR",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051346",
            "telephone_number": "207-781-2328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 NORTHBROOK DR",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051346",
            "telephone_number": "207-781-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANNOSTRAND",
        "first_name": "BLAIR",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "3805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DENTAL LICENSE NUMB",
            "identifier": "3805",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Traub
• Lindsay N Tremblay, CNP
• Lori Ann Tully, LCPC
• Yasmeen Tum
• Jill Louise Upham
• Stephanie Makalani Vares, OTR/L
• Robin Verge, RDH
• Anna Verger, LCPC-C
• Aziza S Villamar
• Cesar G Viola, MPT

• General Practice Dentistry in Falmouth, ME
• Providers in Falmouth, ME by specialty
• General Practice Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.