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Dr. Elijah Leverett , DMD

Dentist - General Practice β€’ Augusta, ME

Active NPI 1285377390 Individual Practitioner Male Practitioner
Practice location in NPPES

25 Stone St
Augusta, ME 043306114

Call 2076229210 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

25 Stone St

Augusta, ME 043306114

Telephone 2076229210
Organization at the Same NPPES Address or Phone
Maine Dental Group, P.c. Facility NPI 1154794758

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Augusta and Maine

32 active clinicians are listed under Dentist - General Practice with a practice address in Augusta, ME (519 in Maine).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Augusta

0% of these 32 clinicians have the CMS telehealth indicator.

0% of these 32 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-11-17
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES ME DEN5038

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Maine State Medical Licensing Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. Kevin Kwon , DMD

Dentist - General Practice

NPI 1750952107

Doctor of Dental Medicine

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location November 17, 2023

Registered at 25 STONE ST, AUGUSTA, ME 043306114 (Tel: 2076229210)

πŸ“
Updated Business Mailing Address November 17, 2023

Registered at 17 SPRING ST APT 1, AUGUSTA, ME 043305122 (Tel: 2077129779)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2023

Dentist (license number reported to NPPES: ME DEN5038)

πŸ‘€
Provider Name / Credentials Updated September 02, 2022

Recorded as ELIJAH LEVERETT, DMD

βœ…
NPI Profile Active April 16, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 16, 2022

Registered at 1493 CAMBRIDGE ST, CAMBRIDGE, MA 021391099 (Tel: 6176653990)

πŸ“
Business Mailing Address (Initial Record) April 16, 2022

Registered at 119 WINDSOR STREET, 2ND FLOOR, CAMBRIDGE, MA 02139 (Tel: 6176653990)

πŸ‘€
Provider Name / Credentials (Initial Record) April 16, 2022

Recorded as ELIJAH LEVERETT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2022

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration April 16, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1285377390
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 16, 2022
Last Update: November 17, 2023
Sole Proprietor: No

Other Dentist - General Practices in Augusta

All Dentist - General Practices in Augusta

Mailing Address

17 Spring St Apt 1

Augusta, ME 043305122

Phone: 2077129779

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.