Active NPI
Nda Associates, PLLC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Williston, VT
National Provider Identifier
1437694635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 016.0117242
- Legal business name
- NDA ASSOCIATES, PLLC
- Practice address
- 71 Knight LN
Suite 10
Williston, VT 05495-4432 - Phone
- (802) 876-7803
- NPI assigned
- Dec 23, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Elizabeth D Walker, DMD, MSD
- Title
- Practice Owner
- Phone
- (802) 876-7803
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 016.0117242 | VT | Primary |
Addresses
Primary practice location
71 Knight LN
Suite 10
Williston, VT 05495-4432
Mailing address
71 Knight LN
Suite 10
Williston, VT 05495-4432
Phone (802) 876-7803
Other names 1
- TMJ, Sleep Therapy & Airway Orthodontics
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482451200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1482451200000",
"number": "1437694635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 KNIGHT LN",
"address_2": "SUITE 10",
"city": "WILLISTON",
"state": "VT",
"postal_code": "054954432",
"telephone_number": "802-876-7803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 KNIGHT LN",
"address_2": "SUITE 10",
"city": "WILLISTON",
"state": "VT",
"postal_code": "054954432",
"telephone_number": "802-876-7803"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NDA ASSOCIATES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-23",
"last_updated": "2016-12-23",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRACTICE OWNER",
"authorized_official_telephone_number": "802-876-7803",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "DMD, MSD"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "VT",
"license": "016.0117242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "TMJ, Sleep Therapy & Airway Orthodontics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Williston, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.