Robert A Davis, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

016.0133900 Issued in VT

Practice address

248 S Main St, Barre, VT 05641
Barre, VT 05641

Phone

(802) 476-6785

NPI assigned

Jun 4, 2019

Last updated

Jun 4, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Dentist

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Northeast Washington County Community Health, Inc.

  dba The Health Center

  • Federally Qualified Health Center (FQHC)
  • Plainfield, VT
  • NPI 1699755348
  Medicare reassignment NPD
• Northeast Washington County Community Health Inc

  • Federally Qualified Health Center (FQHC)
  • Cabot, VT
  • NPI 1902008485
  NPD

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1285292268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 MILLBROOK DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142214315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 S MAIN ST, BARRE, VT 05641",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "05641",
            "telephone_number": "802-476-6785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ROBERT",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-04",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "016.0133900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria T D'Haene, LICSW
• Hunter L.M. Dadmun
• Michelle Dane, RN
• David W. Butsch MD Prof Corp
• Melody Davis
• Susannah Davis, LCMHC
• Timothy J. Davis
• Talia Anne Deforge
• Shaun D Demers, APRN
• Paula Despault, MA, LCMHC

• General Practice Dentistry in Barre, VT
• Providers in Barre, VT by specialty
• General Practice Dentistry in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.