NPIMap

Organization Active NPI

Contemporary Dental Arts, P.C.

  • General Practice Dentistry
  • Williston, VT
National Provider Identifier
1255533519
Registry record updated Oct 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1108 Issued in VT
Legal business name
CONTEMPORARY DENTAL ARTS, P.C.
Practice address
75 Talcott Rd
Suite 60
Williston, VT 05495-8121
Phone
(802) 878-9888
Fax
(802) 878-8383
NPI assigned
May 31, 2007
Last updated
Oct 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2010

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

Authorized official

Name
Dr. Lauren J Shanard, DDSNPI 1174687149
Title
Owner
Phone
(802) 878-9888

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
General Practice Dentistry 1223G0001X 1108 VT Primary

Addresses

Primary practice location

75 Talcott Rd
Suite 60
Williston, VT 05495-8121

Mailing address

75 Talcott Rd
Suite 60
Williston, VT 05495-8121
Phone (802) 878-9888

Other identifiers 2

IdentifierTypeStateIssuer
1184788002MedicaidVT
1174687149MedicaidVT

Other names 1

  • Contemporary Dental Care, P.C. Former legal business name

National Provider Directory

National Provider Directory

Locations

75 Talcott Rd
Ste 60
Williston, VT 05495
Phone (802) 878-9888

Practitioners & affiliated clinicians

Practitioners 3

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": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288310400000",
    "number": "1255533519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 TALCOTT RD",
            "address_2": "SUITE 60",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054958121",
            "telephone_number": "802-878-9888",
            "fax_number": "802-878-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 TALCOTT RD",
            "address_2": "SUITE 60",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054958121",
            "telephone_number": "802-878-9888",
            "fax_number": "802-878-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTEMPORARY DENTAL ARTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2010-10-29",
        "status": "A",
        "authorized_official_last_name": "SHANARD",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-878-9888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "1108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184788002",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174687149",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Contemporary Dental Care, P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Williston, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; 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.