Active NPI
Yossri Kairlis
- Exclusive Provider Organization
- Brattleboro, VT
National Provider Identifier
1477672632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- License
- 0160002043
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1006272 | Medicaid | VT |
National Provider Directory
National Provider DirectoryLocations
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.