Active NPI
Donna L Poulin, RDH
- Dental Hygienist
- Gray, ME
National Provider Identifier
1982913216
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Oct 20, 2014.
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- RDH2413
- Practice address
- 41 Cambell Shore Rd
Gray, ME 04039-7770 - Phone
- (207) 653-6680
- Fax
- (207) 428-3925
- NPI assigned
- Oct 5, 2010
- 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 | RDH2413 | ME | Primary |
Addresses
Primary practice location
41 Cambell Shore Rd
Gray, ME 04039-7770
Mailing address
41 Cambell Shore Rd
Gray, ME 04039-7770
Phone (207) 653-6680
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RDH2413 | Other | ME | MAINE |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RDH2413 | ME | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286236800000",
"number": "1982913216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 CAMBELL SHORE RD",
"city": "GRAY",
"state": "ME",
"postal_code": "040397770",
"telephone_number": "207-653-6680",
"fax_number": "207-428-3926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 CAMBELL SHORE RD",
"city": "GRAY",
"state": "ME",
"postal_code": "040397770",
"telephone_number": "207-653-6680",
"fax_number": "207-428-3925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POULIN",
"first_name": "DONNA",
"middle_name": "L",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-05",
"last_updated": "2010-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "ME",
"license": "RDH2413",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAINE",
"identifier": "RDH2413",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gray, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.