Thomas L. Opsahl, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

871 Issued in VT

Practice address

4 General Wing Rd
Rutland, VT 05701-4682

Phone

(802) 775-0819

Fax

(802) 775-1487

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

No

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.

• Family Dental Associates

  • General Practice Dentistry
  • Rutland, VT
  • NPI 1487853644
  NPD (past)
• Jonathan E Mason DMD PC

  • General Practice Dentistry
  • Rutland, VT
  • NPI 1215679568
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043230899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 GENERAL WING RD",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014682",
            "telephone_number": "802-775-0819",
            "fax_number": "802-775-1487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 GENERAL WING RD",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014682",
            "telephone_number": "802-775-0819",
            "fax_number": "802-775-1487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPSAHL",
        "first_name": "THOMAS",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VT",
            "license": "871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000354",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ian Odigie, DPM
• Leanna A Olennikov, OD
• Earl A Olson, D.M.D.
• Melissa Raiford Omand, MA
• One Earth Counseling Services LLC
• Mackenzie Kristen Ormiston
• Jeremy Orr, PA-C
• Nicole Papke
• John Raymond Paquette, RPH
• Parizo'S Spectacle Shoppe, P.C.

• All providers in Rutland, VT
• Dentist in Vermont

• 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.