Individual provider Active NPI

Katie Piet, D.D.S.

  • Dentist
  • St Johnsbury, VT
National Provider Identifier
1356797153
Registry record updated Oct 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
016.0120686 Issued in VT
Practice address
1 Notre Dame PL
St Johnsbury, VT 05819-2223
Phone
(802) 748-9357
Fax
(802) 748-8770
NPI assigned
May 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 016.0120686 VT Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1 Notre Dame PL
St Johnsbury, VT 05819-2223

Mailing address

One Place Notre Dame
St Johnsbury, VT 05819
Phone (802) 748-9357

Other practice location 1

1 Notre Dame Pl
St Johnsbury, VT 05819-2223
Phone (802) 748-9357

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160815001997 VT Order and Referring Only - DentistPractitioner - Dentist 9133413032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lyndonville Dental Group PLC Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506902400000",
    "number": "1356797153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE PLACE NOTRE DAME",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "05819",
            "telephone_number": "802-748-9357",
            "fax_number": "802-748-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NOTRE DAME PL",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058192223",
            "telephone_number": "802-748-9357",
            "fax_number": "802-748-8770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Notre Dame Pl",
            "address_purpose": "LOCATION",
            "city": "St Johnsbury",
            "state": "VT",
            "postal_code": "058192223",
            "country_code": "US",
            "telephone_number": "802-748-9357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIET",
        "first_name": "KATIE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-11",
        "last_updated": "2017-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VT",
            "license": "016.0120686",
            "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 St Johnsbury, VT

Sources for this page

Verify at the official NPI Registry.