Cedric Charles Pecor, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0160002277 Issued in VT

Practice address

157 River St
Milton, VT 05468-3607

Phone

(802) 893-4734

NPI assigned

Jul 14, 2008

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

Medicare fee-for-service enrollment

Enrolled in VT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305244800000",
    "number": "1144484650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 BOVAT RD",
            "city": "FAIRFAX",
            "state": "VT",
            "postal_code": "054545412",
            "telephone_number": "802-999-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 RIVER ST",
            "city": "MILTON",
            "state": "VT",
            "postal_code": "054683607",
            "telephone_number": "802-893-4734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECOR",
        "first_name": "CEDRIC",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-14",
        "last_updated": "2011-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "0160002277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Marie Nelson, RPH, PHARMD
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• Nicolas Lionel Nyirjesy
• Open Heart Counseling PLC
• Oral Care Dental Group
• Troy A Perkins, DPT
• Joanna Pierce
• Amanda Pomeroy, DPT
• Gordon Edward Powers III, M.D.
• Emily Michelle Pratico

• General Practice Dentistry in Milton, VT
• Providers in Milton, VT by specialty
• General Practice Dentistry in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.