Individual provider Active NPI

Christopher R Bevin, DMD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Bennington, VT
National Provider Identifier
1144298910
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
11900 Issued in MN
Practice address
2 Harwood Dr
Bennington, VT 05201-2323
Phone
(802) 447-7073
Fax
(802) 442-2725
NPI assigned
Mar 9, 2006
Last updated
Aug 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 11900 MN Primary

Addresses

Primary practice location

2 Harwood Dr
Bennington, VT 05201-2323

Mailing address

2 Harwood Dr
Bennington, VT 05201-2323
Phone (802) 447-7073

Other practice location 1

77 Hospital Ave Ste 212
North Adams, MA 01247-2538
Phone (413) 664-4100

Other identifiers 2

IdentifierTypeStateIssuer
1014291MedicaidVT
0218910MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071101000061 VT Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 4082687330 Reassigns benefits to 1 organization
I20071115000569 MA Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 4082687330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral SurgeryAlso: Maxillofacial Surgery
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2 Harwood Dr
Bennington, VT 05201-2323
Phone (802) 447-7073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Oral and Facial Surgery Associates,PLC Current Accepting new patients

Locations

3 Dalton Ave
Pittsfield, MA 01201
Phone (413) 499-8400

2 Harwood Dr
Bennington, VT 05201
Phone (802) 447-7073

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1144298910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HARWOOD DR",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052012323",
            "telephone_number": "802-447-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HARWOOD DR",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052012323",
            "telephone_number": "802-447-7073",
            "fax_number": "802-442-2725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 Hospital Ave Ste 212",
            "address_purpose": "LOCATION",
            "city": "North Adams",
            "state": "MA",
            "postal_code": "012472538",
            "country_code": "US",
            "telephone_number": "413-664-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEVIN",
        "first_name": "CHRISTOPHER",
        "middle_name": "R",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MN",
            "license": "11900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014291",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0218910",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bennington, VT

Sources for this page

Verify at the official NPI Registry.