Taconic Dental Arts PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0160073365 Issued in VT

Legal business name

TACONIC DENTAL ARTS PC

Practice address

163 Jackson Ave
Rutland, VT 05701-4500

Phone

(802) 442-9500

NPI assigned

Oct 21, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Tyler Justin Carmack, DMDNPI 1538390042

Title

Owner

Phone

(802) 773-1020

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyler Carmack, D.M.D.

  • General Practice Dentistry
  • Shaftsbury, VT
  • NPI 1538390042
  NPD (past) Authorized official
• Robert L. Schmidt, DMD

  • General Practice Dentistry
  • Rutland, VT
  • NPI 1477695211
  NPD (past)

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519344000000",
    "number": "1417408717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 JACKSON AVE",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014500",
            "telephone_number": "802-442-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 JACKSON AVE",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014500",
            "telephone_number": "802-442-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TACONIC DENTAL ARTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2018-02-23",
        "status": "A",
        "authorized_official_last_name": "CARMACK",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-773-1020",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "0160073365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica M. Sweet, D.O.
• Johanna M Swift, CNM
• Cherin Swinington
• Sherrilyn R Sytsma, NP
• Peter Joseph Szostak, D.O.
• Taconic Essential Primary Care
• Laura Tadio
• Susan Dickey Taggart, LICSW
• Devin Tarbell, CCMA
• William Paul Tarrant, M.D.

• General Practice Dentistry in Rutland, VT
• Providers in Rutland, 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 Feb 23, 2018; 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.