NPIMap

Organization Active NPI

Equinox Dental PLC

  • General Practice Dentistry
  • Poultney, VT
National Provider Identifier
1477067171
Registry record updated Nov 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
EQUINOX DENTAL PLC
Practice address
39 Church St
Poultney, VT 05764-1038
Phone
(802) 287-4066
NPI assigned
Nov 17, 2017
Last updated
Nov 17, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2017

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

Authorized official

Name
Alan Velenchik
Title
Dentist
Phone
(802) 287-4066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

39 Church St
Poultney, VT 05764-1038

Mailing address

39 Church St
Poultney, VT 05764-1038

National Provider Directory

National Provider Directory
Tax ID family
Equinox Dental PLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

39 Church St
Poultney, VT 05764
Phone (802) 287-4066

NPI Registry JSON

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510876800000",
    "number": "1477067171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 CHURCH ST",
            "city": "POULTNEY",
            "state": "VT",
            "postal_code": "057641038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 CHURCH ST",
            "city": "POULTNEY",
            "state": "VT",
            "postal_code": "057641038",
            "telephone_number": "802-287-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUINOX DENTAL PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-17",
        "last_updated": "2017-11-17",
        "status": "A",
        "authorized_official_last_name": "VELENCHIK",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "802-287-4066"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poultney, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; 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.