Equinox Dental PLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EQUINOX DENTAL PLC

Practice address

5053 Main St
Manchester Center, VT 05255-9771

Phone

(802) 768-8595

NPI assigned

Nov 17, 2017

Organization subpart

No

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

Authorized official

Name

Xandra VelenchikNPI 1972820579

Title

Dentist

Phone

(802) 287-4066

Specialties & licenses 1

Addresses

Tax ID family

Equinox Dental PLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Equinox Dental PLC

  • General Practice Dentistry
  • Poultney, VT
  • NPI 1477067171
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Xandra H Velenchik, D.M.D.

  • General Practice Dentistry
  • Manchester Center, VT
  • NPI 1972820579
  NPD (past) Authorized official

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510876800000",
    "number": "1205340908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5053 MAIN ST",
            "city": "MANCHESTER CENTER",
            "state": "VT",
            "postal_code": "052559771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5053 MAIN ST",
            "city": "MANCHESTER CENTER",
            "state": "VT",
            "postal_code": "052559771",
            "telephone_number": "802-768-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUINOX DENTAL PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-17",
        "last_updated": "2017-11-17",
        "status": "A",
        "authorized_official_last_name": "VELENCHIK",
        "authorized_official_first_name": "XANDRA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "802-287-4066"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Cusack, LCSW
• Roseanne Marie Dennan, DC
• John Michael Diblasio, PT, DPT, MPT
• Michael Dreiblatt, LMHC
• Equinox Compounding Pharmacy
• Eric R Nisenson
• Carlie Michelle Felion, FNP, PMHNP
• Susan Flanagan, CCC/SLP
• Pamela Louise Fletcher Maine, PT
• Elizabeth Ann Fredland, LICSW

• General Practice Dentistry in Manchester Center, VT
• Providers in Manchester Center, 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 Nov 17, 2017; 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.