Individual provider Active NPI

Marcelo Barboza Ramos, DR

  • Dentist
  • Williston, VT
National Provider Identifier
1336051689
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0160134472 Issued in VT
Practice address
75 Talcott Rd Ste 60
Williston, VT 05495-8122
Phone
(802) 878-9888
NPI assigned
Sep 21, 2026
Last updated
Oct 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0160134472 VT Primary

Addresses

Primary practice location

75 Talcott Rd Ste 60
Williston, VT 05495-8122

Mailing address

15322 Beamleigh Rd
Winter Garden, FL 34787-4609
Phone (407) 497-4486

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1336051689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15322 BEAMLEIGH RD",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874609",
            "telephone_number": "407-497-4486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 TALCOTT RD STE 60",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054958122",
            "telephone_number": "802-878-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS",
        "first_name": "MARCELO",
        "middle_name": "BARBOZA",
        "name_prefix": "Mr.",
        "credential": "DR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VT",
            "license": "0160134472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.