Individual provider Active NPI

Nathan Makay, DDS

  • General Practice Dentistry
  • Essex Junction, VT
National Provider Identifier
1275544140
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2117 Issued in VT
Practice address
11 Market Place
Essex Junction, VT 05452
Phone
(802) 878-5591
Fax
(802) 878-8951
NPI assigned
Aug 10, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2117 VT Primary

Addresses

Primary practice location

11 Market Place
Essex Junction, VT 05452

Mailing address

11 Market Place
Essex Junction, VT 05452
Phone (802) 878-5591

Other identifiers 3

IdentifierTypeStateIssuer
1351166OtherVTUNITED CONCORDIA
59156OtherVTBCBS
1008037MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160126001820 VT Order and Referring Only - DentistPractitioner - Dentist 2163725086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2117VTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Essex Family Dental General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275544140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MARKET PLACE",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "05452",
            "telephone_number": "802-878-5591",
            "fax_number": "802-878-8951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MARKET PLACE",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "05452",
            "telephone_number": "802-878-5591",
            "fax_number": "802-878-8951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKAY",
        "first_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "2117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1351166",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "59156",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008037",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex Junction, VT

Sources for this page

Verify at the official NPI Registry.