NPIMap

Organization Active NPI

University of Vermont Medical Center

  • General Practice Dentistry
  • South Burlington, VT
National Provider Identifier
1295140754
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
UNIVERSITY OF VERMONT MEDICAL CENTER
Practice address
1060 Hinesburg Rd
Suite 202
South Burlington, VT 05403-7628
Phone
(802) 847-1777
NPI assigned
Jun 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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

Authorized official

Name
Dr. John Brumsted, MD
Title
Ceo
Phone
(802) 847-1882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1060 Hinesburg Rd
Suite 202
South Burlington, VT 05403-7628

Mailing address

PO Box 526
Burlington, VT 05402-0526
Phone (802) 847-1882

Other identifiers 1

IdentifierTypeStateIssuer
1023456MedicaidVT

Other names 1

  • UVM MEDICAL CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fletcher Allen Healthcare22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Locations

1060 Hinesburg Rd
Ste 202
South Burlington, VT 05403
Phone (802) 847-1777

NPI Registry JSON

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1295140754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 526",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054020526",
            "telephone_number": "802-847-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 HINESBURG RD",
            "address_2": "SUITE 202",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037628",
            "telephone_number": "802-847-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF VERMONT MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "BRUMSTED",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "802-847-1882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "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": "1023456",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UVM MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.