Active NPI
Philippe Charlebois, D.M.D.
- General Practice Dentistry
- Shelburne, VT
National Provider Identifier
1174565410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3228
- Practice address
- 41 Falls Rd.
Shelburne, VT 05482-0471 - Phone
- (802) 985-9700
- Fax
- (802) 985-0133
- NPI assigned
- Jun 12, 2006
- Last updated
- Jul 7, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3228 | NH | Primary |
Addresses
Primary practice location
41 Falls Rd.
Shelburne, VT 05482-0471
Mailing address
PO Box 471
Shelburne, VT 05482-0471
Phone (802) 985-9700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3228 | NH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Janet E. Thomason | Past | Accepting new patients | |
| Shelburne Restorative Dentistry | General Practice | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Shelburne, VT
- NPI 1871822627
-
- Dentist
- Shelburne, VT
- NPI 1326295031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246924800000",
"number": "1174565410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 471",
"city": "SHELBURNE",
"state": "VT",
"postal_code": "054820471",
"telephone_number": "802-985-9700",
"fax_number": "802-985-0133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 FALLS RD.",
"city": "SHELBURNE",
"state": "VT",
"postal_code": "054820471",
"telephone_number": "802-985-9700",
"fax_number": "802-985-0133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARLEBOIS",
"first_name": "PHILIPPE",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2009-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NH",
"license": "3228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelburne, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.