NPIMap

Organization Active NPI

Springfield Orthodontics, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Springfield, VT
National Provider Identifier
1205914215
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
0160002073 Issued in VT
Legal business name
SPRINGFIELD ORTHODONTICS, PLLC
Practice address
372 River St
Springfield, VT 05156-2242
Phone
(802) 886-2552
Fax
(802) 886-2390
NPI assigned
Nov 1, 2006
Last updated
Oct 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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

Authorized official

Name
Dr. Emily Jeanne Samuel, DMDNPI 1760571905
Title
Owner Doctor
Phone
(802) 886-2552

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 0160002073 VT Primary

Addresses

Primary practice location

372 River St
Springfield, VT 05156-2242

Mailing address

372 River St
Springfield, VT 05156-2242
Phone (802) 886-2552

Other names 1

  • Emily J Samuel Other name

National Provider Directory

National Provider Directory

Locations

372 River St
Springfield, VT 05156
Phone (802) 886-2552

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1205914215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 RIVER ST",
            "city": "SPRINGFIELD",
            "state": "VT",
            "postal_code": "051562242",
            "telephone_number": "802-886-2552",
            "fax_number": "802-886-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 RIVER ST",
            "city": "SPRINGFIELD",
            "state": "VT",
            "postal_code": "051562242",
            "telephone_number": "802-886-2552",
            "fax_number": "802-886-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "802-886-2552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VT",
            "license": "0160002073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emily J Samuel",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Springfield, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; 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.