Active NPI
Stephen Arlen Saunders, DDS
- General Practice Dentistry
- Chester, VT
National Provider Identifier
1245396753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2022
- Practice address
- 55 State Route 11 West
Ellsworth Memorial Building
Chester, VT 05143 - Phone
- (802) 875-2878
- Fax
- (208) 875-6696
- NPI assigned
- Dec 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 2022 | VT | Primary |
Addresses
Primary practice location
55 State Route 11 West
Ellsworth Memorial Building
Chester, VT 05143
Mailing address
PO Box 159
55 State Route 11 West
Chester, VT 05143-0159
Phone (802) 875-2878
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1005849 | Medicaid | VT |
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 |
|---|---|---|---|
| 2022 | VT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Medical Care Systems Inc | General Practice | Past | Accepting new patients |
| Stephen a. Saunders DDS | 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 and National Provider Directory roles.
-
- General Practice Dentistry
- Chester, VT
- NPI 1518668227
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245396753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 159",
"address_2": "55 STATE ROUTE 11 WEST",
"city": "CHESTER",
"state": "VT",
"postal_code": "051430159",
"telephone_number": "802-875-2878",
"fax_number": "802-875-6696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 STATE ROUTE 11 WEST",
"address_2": "ELLSWORTH MEMORIAL BUILDING",
"city": "CHESTER",
"state": "VT",
"postal_code": "05143",
"telephone_number": "802-875-2878",
"fax_number": "208-875-6696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAUNDERS",
"first_name": "STEPHEN",
"middle_name": "ARLEN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VT",
"license": "2022",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1005849",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chester, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.