Bethany K Fitzgerald, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2140 Issued in VT

Practice address

157 River St
Milton, VT 05468-3607

Phone

(802) 893-4734

NPI assigned

Nov 12, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1163289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1356412415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 BILODEAU CT",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011518",
            "telephone_number": "802-862-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 RIVER ST",
            "city": "MILTON",
            "state": "VT",
            "postal_code": "054683607",
            "telephone_number": "802-893-4734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "BETHANY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "2140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009136",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolynne Fagan
• Abigail Grace Farkash, MD
• John C Ferguson, M.D.
• Danielle Ferrante, ATC
• Judy Fingergut, M.D.
• John P Fogarty, M.D.
• Francine T Tougas (Milton Chiropractic Center)
• Allison Garvey
• Louise George
• Melisa Gail Gibson, MD

• General Practice Dentistry in Milton, VT
• Providers in Milton, 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 Jul 9, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.