Individual provider Active NPI

Richard G Schramm, DMD

  • General Practice Dentistry
  • White River Junction, VT
National Provider Identifier
1477679280
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1028 Issued in VT
Practice address
1049 North Hartland Road
White River Junction, VT 05001
Phone
(802) 295-2458
Fax
(802) 295-3985
NPI assigned
Mar 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1028 VT Primary

Addresses

Primary practice location

1049 North Hartland Road
White River Junction, VT 05001

Mailing address

P O Box 948
1049 North Hartland Road
White River Junction, VT 05001-7161
Phone (802) 295-2458

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170125001395 VT Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 4486936564

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1028VTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Schramm and Symancyk, PLLC General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228262400000",
    "number": "1477679280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 948",
            "address_2": "1049 NORTH HARTLAND ROAD",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050017161",
            "telephone_number": "802-295-2458",
            "fax_number": "802-295-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 NORTH HARTLAND ROAD",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "05001",
            "telephone_number": "802-295-2458",
            "fax_number": "802-295-3985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRAMM",
        "first_name": "RICHARD",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2008-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "1028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White River Junction, VT

Sources for this page

Verify at the official NPI Registry.