Active NPI
Lynda M Ulrich, DMD
- General Practice Dentistry
- Saint Albans, VT
National Provider Identifier
1437236957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0160001060
- Practice address
- 39 Congress St
Saint Albans, VT 05478-1610 - Phone
- (802) 524-9774
- Fax
- (802) 524-9789
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0160001060 | VT | Primary |
Addresses
Primary practice location
39 Congress St
Saint Albans, VT 05478-1610
Mailing address
1364 Castle Rd
Fairfield, VT 05455-5492
Phone (802) 527-7796
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1010490 | Medicaid | VT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0160001060 | VT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fiddlehead Family Dentistry PC | General Practice | Past | Accepting new patients |
| Vermont Family Dental PLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- St Albans, VT
- NPI 1194738088
-
- Dental Clinic/Center
- Saint Albans, VT
- NPI 1831935410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1437236957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1364 CASTLE RD",
"city": "FAIRFIELD",
"state": "VT",
"postal_code": "054555492",
"telephone_number": "802-527-7796",
"fax_number": "802-524-9789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 CONGRESS ST",
"city": "SAINT ALBANS",
"state": "VT",
"postal_code": "054781610",
"telephone_number": "802-524-9774",
"fax_number": "802-524-9789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULRICH",
"first_name": "LYNDA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VT",
"license": "0160001060",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1010490",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Albans, VT
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.