Theodore Librizzi, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

0160000947 Issued in VT

Practice address

1 Kennedy Drive
Suite 5
South Burlington, VT 05403

Phone

(802) 859-9441

Fax

(802) 862-2424

NPI assigned

Apr 6, 2007

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

Other identifiers 1

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 and National Provider Directory roles.

• Associates in Orhtodontics PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • South Burlington, VT
  • NPI 1740306224
  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124140280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KENNEDY DRIVE",
            "address_2": "SUITE 5",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "05403",
            "telephone_number": "802-859-9441",
            "fax_number": "802-862-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KENNEDY DRIVE",
            "address_2": "SUITE 5",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "05403",
            "telephone_number": "802-859-9441",
            "fax_number": "802-862-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBRIZZI",
        "first_name": "THEODORE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VT",
            "license": "0160000947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002638",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Levitate Lifestyle LLC
• Jennifer Ann Levy, P.T.
• Jenna Lewandowski, CCC-SLP
• Martin M. Lewinter, M.D.
• Wendy Mills Libby, MD
• Zachary T Librizzi, D.M.D.
• Linden Tree Counseling PLLC
• Alix Emily Lindenbaum
• Kaitlyn Lindsay, LMHC
• Peggy S Lindsey, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in South Burlington, VT
• Providers in South Burlington, VT by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry 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.