NPIMap

Organization Active NPI

Upper Valley Endodontics

  • Endodontics
  • White River Junction, VT
National Provider Identifier
1457638892
Registry record updated Feb 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
49567 Issued in VT
Legal business name
UPPER VALLEY ENDODONTICS
Practice address
205 Billings Farm Rd
Suite 6a
White River Junction, VT 05001-5400
Phone
(802) 295-7522
Fax
(802) 296-2012
NPI assigned
Nov 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2014

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

Authorized official

Name
Dr. Brooke Blicher, DMDNPI 1184892309
Title
Owner
Phone
(802) 295-7522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223E0200X 49567 VT Primary
EndodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223E0200X 016.0093923 VT
EndodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223E0200X

Addresses

Primary practice location

205 Billings Farm Rd
Suite 6a
White River Junction, VT 05001-5400

Mailing address

205 Billings Farm Rd
White River Junction, VT 05001-5400
Phone (802) 295-7522

National Provider Directory

National Provider Directory

Locations

205 Billings Farm Rd
White River Junction, VT 05001
Phone (603) 398-8979

205 Billings Farm Rd
Ste 6A
White River Junction, VT 05001
Phone (802) 295-7522

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392595200000",
    "number": "1457638892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 BILLINGS FARM RD",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050015400",
            "telephone_number": "802-295-7522",
            "fax_number": "802-296-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 BILLINGS FARM RD",
            "address_2": "SUITE 6A",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050015400",
            "telephone_number": "802-295-7522",
            "fax_number": "802-296-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER VALLEY ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2014-02-17",
        "status": "A",
        "authorized_official_last_name": "BLICHER",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-295-7522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "VT",
            "license": "49567",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "VT",
            "license": "016.0093923",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White River Junction, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; 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.