James J. Crumbaker, DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

016-0002029 Issued in VT

Legal business name

JAMES J. CRUMBAKER, DDS PC

Practice address

85 Washington St
Suite 1
Barre, VT 05641-4297

Phone

(802) 476-7162

Fax

(802) 476-7120

NPI assigned

May 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. James J Crumbaker

Title

Dentist

Phone

(802) 476-7162

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144421900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 WASHINGTON ST",
            "address_2": "SUITE 1",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056414297",
            "telephone_number": "802-476-7162",
            "fax_number": "802-476-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 WASHINGTON ST",
            "address_2": "SUITE 1",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056414297",
            "telephone_number": "802-476-7162",
            "fax_number": "802-476-7120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES J. CRUMBAKER, DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRUMBAKER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "802-476-7162",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "016-0002029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1006389",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.