Carmen Ivelisse Negron-Dupee, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

015.0001559 Issued in VT

Practice address

390 Olde Orchard LN
Shelburne, VT 05482-6772

Phone

(978) 828-9846

NPI assigned

May 14, 2021

Last updated

May 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1194399170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 OLDE ORCHARD LN",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054826772",
            "telephone_number": "978-828-9846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 OLDE ORCHARD LN",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054826772",
            "telephone_number": "978-828-9846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGRON-DUPEE",
        "first_name": "CARMEN",
        "middle_name": "IVELISSE",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "VT",
            "license": "0015.0001559",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "VT",
            "license": "015.0001559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mystan LLC
• Mystan LLC
• Mystan LLC
• Mystan LLC
• NCV PLLC (Network Chiropractic of Vermont)
• Nerzada Turan PLLC
• Debra Niemasz, MSW
• Michael Martin Oberding, DC
• Kathryn Osullivan
• Nina Z Otter

• Dental Hygienist in Shelburne, VT
• Providers in Shelburne, VT by specialty
• Dental Hygienist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.