Active NPI
David Toll MD
- Pediatrics Physician
- St Johnsbury, VT
National Provider Identifier
1023238557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 042-0002104
- Legal business name
- DAVID TOLL MD
- Practice address
- 1394 Main St
St Johnsbury, VT 05819-1829 - Phone
- (802) 748-2348
- Fax
- (802) 748-5561
- NPI assigned
- Apr 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Toll, MD
- Title
- Owner
- Phone
- (802) 748-2348
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 042-0002104 | VT | Primary |
Addresses
Primary practice location
1394 Main St
St Johnsbury, VT 05819-1829
Mailing address
1394 Main St
St Johnsbury, VT 05819-1829
Phone (802) 748-2348
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1006628 | Medicaid | VT |
National Provider Directory
National Provider DirectoryLocations
1394 Main St
St Johnsbury, VT 05819
Phone (802) 748-2348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201219200000",
"number": "1023238557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1394 MAIN ST",
"city": "ST JOHNSBURY",
"state": "VT",
"postal_code": "058191829",
"telephone_number": "802-748-2348",
"fax_number": "802-748-5561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1394 MAIN ST",
"city": "ST JOHNSBURY",
"state": "VT",
"postal_code": "058191829",
"telephone_number": "802-748-2348",
"fax_number": "802-748-5561"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID TOLL MD",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-26",
"last_updated": "2008-01-25",
"status": "A",
"authorized_official_last_name": "TOLL",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "802-748-2348",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "VT",
"license": "042-0002104",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1006628",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Johnsbury, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.