Shon Christopher Diguglielmo, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

016-0002273 Issued in VT

Practice address

60 Timber LN
South Burlington, VT 05403-7214

Phone

(802) 864-6881

Fax

(802) 862-8942

NPI assigned

May 30, 2008

Last updated

May 30, 2008By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Timberlane Dental Associates, PLC

  • Dentist
  • South Burlington, VT
  • NPI 1922841329
  NPD (past)
• Timberlane Dental Group

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • South Burlington, VT
  • NPI 1326139130

  Pediatric Dentistry

  NPD (past)

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212105600000",
    "number": "1023276573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 TIMBER LN",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037214",
            "telephone_number": "802-864-6881",
            "fax_number": "802-862-8942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 TIMBER LN",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037214",
            "telephone_number": "802-864-6881",
            "fax_number": "802-862-8942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGUGLIELMO",
        "first_name": "SHON",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VT",
            "license": "016-0002273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent J Devita, O.D.
• Regan Dewhirst, DPT
• Christine Marie Diblasio, PH.D.
• Leyla Dickason, RN
• Heather Lynn Diederich, D.C.
• Cara Dimasi, N.P.
• Mark Chipman Dobson, DTR
• Doctor Elizabeth Jensen Psychiatry Professional Corporation (Jensen Psychiatry)
• Susan Dodge, P.T.
• Sara Doll, M.S. ED. CCC-SLP

• Pediatric Dentistry in South Burlington, VT
• Providers in South Burlington, VT by specialty
• Pediatric Dentistry in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.

Verify at the official NPI Registry.