Organization Active NPI

Douglas L. Dier, M.D., P.C

  • Rheumatology Physician
  • Rutland, VT
National Provider Identifier
1275845943
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
042-0007797 Issued in VT
Legal business name
DOUGLAS L. DIER, M.D., P.C
Practice address
98 Allen St
Rutland, VT 05701-4776
Phone
(802) 775-3374
NPI assigned
Jul 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Authorized official

Name
Dr. Douglas L Dier, MDNPI 1548374382
Title
Owner
Phone
(802) 775-3374

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
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X 042-0007797 VT Primary

Addresses

Primary practice location

98 Allen St
Rutland, VT 05701-4776

Mailing address

98 Allen St Ste 4
Rutland, VT 05701-4776
Phone (802) 775-3374

Other identifiers 1

IdentifierTypeStateIssuer
1018191MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100903000225 VT Part B Supplier - Clinic/Group Practice 8628192218 Receives reassigned benefits from 1 practitioner
Practice locations: Rutland, VT

National Provider Directory

National Provider Directory

Locations

98 Allen St
Ste 4
Rutland, VT 05701

98 Allen St
Rutland, VT 05701
Phone (802) 770-1850

Practitioners & affiliated clinicians

Practitioners 1

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": "1278633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587513600000",
    "number": "1275845943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 ALLEN ST STE 4",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014776",
            "telephone_number": "802-775-3374",
            "fax_number": "802-747-4521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 ALLEN ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014776",
            "telephone_number": "802-775-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS L. DIER, M.D., P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-09",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A",
        "authorized_official_last_name": "DIER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-775-3374",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "VT",
            "license": "042-0007797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018191",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutland, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.