Individual provider Active NPI

Lawrence Andrew Boyle, DDS

  • General Practice Dentistry
  • Wells, ME
National Provider Identifier
1992861025
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5294 Issued in ME
Practice address
1332 Post Rd
Unit 1a
Wells, ME 04090-4561
Phone
(207) 646-5297
Fax
(207) 646-1296
NPI assigned
Jan 1, 2007
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5294MEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Nortey Dental PLLC Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5294 ME Primary

Addresses

NPPES NPI Registry

Primary practice location

1332 Post Rd
Unit 1a
Wells, ME 04090-4561

Mailing address

PO Box 535
1332 Post Road Unit 1a
Wells, ME 04090-0535
Phone (207) 646-5297

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
5294OtherMESTATE LICENSE NUMBER

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992861025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 535",
            "address_2": "1332 POST ROAD UNIT 1A",
            "city": "WELLS",
            "state": "ME",
            "postal_code": "040900535",
            "telephone_number": "207-646-5297",
            "fax_number": "207-646-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 POST RD",
            "address_2": "UNIT 1A",
            "city": "WELLS",
            "state": "ME",
            "postal_code": "040904561",
            "telephone_number": "207-646-5297",
            "fax_number": "207-646-1296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "LAWRENCE",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "5294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "5294",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wells, ME

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.