Green Mountain Dental Sleep Center

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GREEN MOUNTAIN DENTAL SLEEP CENTER

Practice address

206 N Main St
Rutland, VT 05701-2411

Phone

(802) 775-2218

Fax

(844) 929-1134

NPI assigned

Apr 1, 2019

Last updated

Feb 27, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Judith M Fisch, DDSNPI 1114075249

Title

Dentist/Owner

Phone

(028) 775-2218

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Judith M Fisch, DDS

  • General Practice Dentistry
  • Rutland, VT
  • NPI 1114075249
  NPD Authorized official
• David K Heaton, DDS

  • General Practice Dentistry
  • Rutland, VT
  • NPI 1487702510
  NPD (past)
• Aimee Elisabeth Delorenzo, DMD

  • General Practice Dentistry
  • Washington, DC
  • NPI 1902344997
  NPD (past)

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1326500141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N MAIN ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057012411",
            "telephone_number": "802-775-5286",
            "fax_number": "802-747-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N MAIN ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057012411",
            "telephone_number": "802-775-2218",
            "fax_number": "844-929-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN MOUNTAIN DENTAL SLEEP CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-01",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "FISCH",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "028-775-2218",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Graudons, LMSW
• Jordan Ashley Gray, DDS
• Peter B Gray, DMD
• Annalisa Greco, NP
• Jessica N Greco, LICSW
• Green Mountain Family Medicine
• Green Mountain Infectious Disease LLC
• Green Mountain Oral Surgery LLC
• Chelsea E Greeno, APRN
• Richard A Greenspan, RPH

• Durable Medical Equipment & Medical Supplies in Rutland, VT
• Providers in Rutland, VT by specialty
• Durable Medical Equipment & Medical Supplies in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.