Organization Active NPI

Hubbard Park Family Dentistry, PLLC

  • General Practice Dentistry
  • Montpelier, VT
National Provider Identifier
1194278499
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
016000292 Issued in VT
Legal business name
HUBBARD PARK FAMILY DENTISTRY, PLLC
Practice address
174 Elm St
Montpelier, VT 05602-2262
Phone
(802) 229-9494
Fax
(802) 229-4515
NPI assigned
Aug 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2016

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

Authorized official

Name
Caroline Marisa Murphy, DDS
Title
Owner/Dentist
Phone
(802) 229-9494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 016000292 VT Primary

Addresses

Primary practice location

174 Elm St
Montpelier, VT 05602-2262

Mailing address

174 Elm St
Montpelier, VT 05602-2262
Phone (802) 229-9494

Other identifiers 1

IdentifierTypeStateIssuer
1007197MedicaidVT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1194278499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 ELM ST",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056022262",
            "telephone_number": "802-229-9494",
            "fax_number": "802-229-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 ELM ST",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056022262",
            "telephone_number": "802-229-9494",
            "fax_number": "802-229-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUBBARD PARK FAMILY DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "MARISA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "802-229-9494",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "016000292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007197",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montpelier, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.