Organization Active NPI

Yossri Kairlis

  • Exclusive Provider Organization
  • Brattleboro, VT
National Provider Identifier
1477672632
Registry record updated Dec 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
0160002043 Issued in VT
Legal business name
YOSSRI KAIRLIS
Practice address
130 Birge St
Brattleboro, VT 05301-6460
Phone
(802) 251-1031
Fax
(802) 251-0022
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2012

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

Authorized official

Name
Dr. Yossri Mahir Kairlis, DMD
Title
Owner
Phone
(802) 251-1031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 0160002043 VT Primary

Addresses

Primary practice location

130 Birge St
Brattleboro, VT 05301-6460

Mailing address

130 Birge St
Brattleboro, VT 05301-6460
Phone (802) 251-1031

Other identifiers 1

IdentifierTypeStateIssuer
1006272MedicaidVT

National Provider Directory

National Provider Directory

Locations

130 Birge St
Brattleboro, VT 05301
Phone (802) 251-1031

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355270400000",
    "number": "1477672632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 BIRGE ST",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053016460",
            "telephone_number": "802-251-1031",
            "fax_number": "802-251-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 BIRGE ST",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053016460",
            "telephone_number": "802-251-1031",
            "fax_number": "802-251-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOSSRI KAIRLIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2012-12-12",
        "status": "A",
        "authorized_official_last_name": "KAIRLIS",
        "authorized_official_first_name": "YOSSRI",
        "authorized_official_middle_name": "MAHIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-251-1031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "VT",
            "license": "0160002043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1006272",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brattleboro, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; 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.