Organization Active NPI

Cvoms Associates, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Colchester, VT
National Provider Identifier
1104229475
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
016.0084809 Issued in VT
Legal business name
CVOMS ASSOCIATES, PC
Practice address
441 Watertower Cir Ste 100
Colchester, VT 05446-5801
Phone
(802) 862-9196
Fax
(802) 862-5769
NPI assigned
Oct 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. James Edward Freeman IV, DDSNPI 1760452437
Title
President
Phone
(802) 862-9196

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 016.0084809 VT Primary

Addresses

Primary practice location

441 Watertower Cir Ste 100
Colchester, VT 05446-5801

Mailing address

441 Watertower Cir Ste 100
Colchester, VT 05446-5801
Phone (802) 862-9196

National Provider Directory

National Provider Directory

Locations

441 Watertower Cir
#100
Colchester, VT 05446
Phone (802) 655-7575

118 Tilley Dr
South Burlington, VT 05403
Phone (802) 578-7495

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1104229475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 WATERTOWER CIR STE 100",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054465801",
            "telephone_number": "802-862-9196",
            "fax_number": "802-862-5769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 WATERTOWER CIR STE 100",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054465801",
            "telephone_number": "802-862-9196",
            "fax_number": "802-862-5769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVOMS ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-01",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-862-9196",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VT",
            "license": "016.0084809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colchester, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.