Stephen Monroe Pitmon, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

016-0001072 Issued in VT

Practice address

875 Roosevelt Hwy
Suite 110
Colchester, VT 05446-4460

Phone

(802) 862-5052

Fax

(802) 660-3991

NPI assigned

Jun 2, 2005

Last updated

Jan 22, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: spitmon269053@direct.uvmhealth.org

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

• Alpine Family Dental LLC

  • Dental Clinic/Center
  • Colchester, VT
  • NPI 1679786842
  NPD (past) Authorized official

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1437153798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 ROOSEVELT HWY",
            "address_2": "SUITE 110",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054464460",
            "telephone_number": "802-862-5052",
            "fax_number": "802-660-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 ROOSEVELT HWY",
            "address_2": "SUITE 110",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054464460",
            "telephone_number": "802-862-5052",
            "fax_number": "802-660-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITMON",
        "first_name": "STEPHEN",
        "middle_name": "MONROE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-02",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "016-0001072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003378",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Kuebler Perryman, PT, DPT
• Thomas C Peterson, M.D.
• Pharmacy Network (Community Health Pharmacy)
• Stephanie Pierce, MSOTR/L
• Ellen Modica Pilon, BS PHYSICAL THERAPY
• Planned Parenthood of Northern New England, Inc (Planned Parenthood)
• Lonnie Lea Poland, P.T.
• Julie Ann Porter, AU.D.
• Daniel Portice, PMHNP-BC
• Posterity Men's Health, P.C.

• General Practice Dentistry in Colchester, VT
• Providers in Colchester, 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 Jan 22, 2020; 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.