Organization Active NPI

Dickinson & Branon Dental Care, PLC

  • General Practice Dentistry
  • St Albans, VT
National Provider Identifier
1275653594
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DICKINSON & BRANON DENTAL CARE, PLC
Practice address
12 Mapleville Depot
St Albans, VT 05478
Phone
(802) 527-1227
Fax
(802) 527-3767
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Richard A Dickinson, DDSNPI 1598885808
Title
Partner
Phone
(802) 527-1227

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

12 Mapleville Depot
St Albans, VT 05478

Mailing address

12 Mapleville Depot
St Albans, VT 05478
Phone (802) 527-1227

Other identifiers 1

IdentifierTypeStateIssuer
1011995MedicaidVT

Other names 1

  • Richard A Dickinson, DDS Former legal business name

National Provider Directory

National Provider Directory

Locations

12 Mapleville Depot
Saint Albans, VT 05478
Phone (802) 527-1227

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275653594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MAPLEVILLE DEPOT",
            "city": "ST ALBANS",
            "state": "VT",
            "postal_code": "05478",
            "telephone_number": "802-527-1227",
            "fax_number": "802-527-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MAPLEVILLE DEPOT",
            "city": "ST ALBANS",
            "state": "VT",
            "postal_code": "05478",
            "telephone_number": "802-527-1227",
            "fax_number": "802-527-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICKINSON & BRANON DENTAL CARE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DICKINSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "802-527-1227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011995",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richard A Dickinson, DDS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in St Albans, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.