Individual provider Active NPI

Evan Perler, DDS

  • Prosthodontics
  • South Burlington, VT
National Provider Identifier
1356722680
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
016.0133904 Issued in VT
Practice address
1060 Hinesburg Rd Ste 302
South Burlington, VT 05403-7628
Phone
(802) 864-3827
NPI assigned
Jun 11, 2015
Last updated
Aug 13, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 058774 NY
Prosthodontics 1223P0700X 016.0133904 VT Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1060 Hinesburg Rd Ste 302
South Burlington, VT 05403-7628

Mailing address

1060 Hinesburg Rd Ste 302
South Burlington, VT 05403-7628
Phone (802) 864-3827

Other practice location 1

423 E 23rd St
Dental Clinic
New York, NY 10010-5011
Phone (212) 868-7500 ext. 7046

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
058774NYMDGeneral Practice Dentistry
016.0133904VTMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1356722680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 HINESBURG RD STE 302",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037628",
            "telephone_number": "802-864-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 HINESBURG RD STE 302",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037628",
            "telephone_number": "802-864-3827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "423 E 23rd St",
            "address_2": "Dental Clinic",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100105011",
            "country_code": "US",
            "telephone_number": "212-868-7500 x7046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERLER",
        "first_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-11",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "058774",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "VT",
            "license": "016.0133904",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 13, 2019; 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.