NPIMap

Organization Active NPI

Schramm and Symancyk, PLLC

  • General Practice Dentistry
  • White River Junction, VT
National Provider Identifier
1174533327
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
VT1028 Issued in VT
Legal business name
SCHRAMM AND SYMANCYK, PLLC
Doing business as
White River Dentist
Practice address
1049 North Hartland Road
White River Junction, VT 05001
Phone
(802) 295-2458
Fax
(802) 295-3985
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

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

Authorized official

Name
Richard G Schramm, DMDNPI 1477679280
Title
Co Owner General Dentist
Phone
(802) 295-2458

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 106.0086114 VT
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X VT625 VT
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X VT1028 VT Primary

Addresses

Primary practice location

1049 North Hartland Road
White River Junction, VT 05001

Mailing address

PO Box 948
White River Junction, VT 05001-0948
Phone (802) 295-2458

Other identifiers 5

IdentifierTypeStateIssuer
0001901MedicaidVT
1002992MedicaidVT
1014988MedicaidVT
1028MedicaidVT
625MedicaidVT

Other names 1

  • White River Dentist Doing business as

National Provider Directory

National Provider Directory

Locations

1049 N Hartland Rd
White River Junction, VT 05001
Phone (802) 295-2458

Practitioners & affiliated clinicians

Practitioners 3

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": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1174533327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 948",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050010948",
            "telephone_number": "802-295-2458",
            "fax_number": "802-295-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 NORTH HARTLAND ROAD",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "05001",
            "telephone_number": "802-295-2458",
            "fax_number": "802-295-3985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHRAMM AND SYMANCYK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "SCHRAMM",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CO OWNER GENERAL DENTIST",
        "authorized_official_telephone_number": "802-295-2458",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VT",
            "license": "106.0086114",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "VT625",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "VT1028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001901",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002992",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014988",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1028",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "625",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White River Dentist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in White River Junction, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.