NPIMap

Individual provider Active NPI

Tyler Mills Aten, D.M.D.

  • Dentist
  • South Burlington, VT
National Provider Identifier
1437564580
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
016.0112532 Issued in VT
Practice address
118 Tilley Dr
Suite 101
South Burlington, VT 05403-4450
Phone
(802) 863-3950
NPI assigned
Jun 27, 2014
Last updated
Apr 24, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 016.0112532 VT Primary

Addresses

Primary practice location

118 Tilley Dr
Suite 101
South Burlington, VT 05403-4450

Mailing address

118 Tilley Dr
Suite 101
South Burlington, VT 05403-4450
Phone (802) 863-3950

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
016.0112532VTMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Albans Dental PLC Current Accepting new patients
River Station Dentistry PLC Current Accepting new patients
Theodorou Dental Partners LLC Dentist Past Accepting new patients
Green Mountain Dental, PLC Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1437564580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 TILLEY DR",
            "address_2": "SUITE 101",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054034450",
            "telephone_number": "802-863-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 TILLEY DR",
            "address_2": "SUITE 101",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054034450",
            "telephone_number": "802-863-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATEN",
        "first_name": "TYLER",
        "middle_name": "MILLS",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-27",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VT",
            "license": "016.0112532",
            "primary": true
        }
    ],
    "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 Apr 24, 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.