Individual provider Active NPI

Ron Caric, DDS

  • Dentist
  • Lyndonville, VT
National Provider Identifier
1528249182
Registry record updated Sep 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
047856 Issued in NY
Practice address
510 Broad St
Lyndonville, VT 05851-8629
Phone
(802) 626-6111
NPI assigned
Nov 23, 2007
Last updated
Sep 6, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 047856 NY Primary

Addresses

Primary practice location

510 Broad St
Lyndonville, VT 05851-8629

Mailing address

889 Newark Pond Rd
West Burke, VT 05871-9612
Phone (802) 626-6111

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
I20170406000854 VT Order and Referring Only - DentistPractitioner - Dentist 6507142569

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
047856NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315267200000",
    "number": "1528249182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "889 NEWARK POND RD",
            "city": "WEST BURKE",
            "state": "VT",
            "postal_code": "058719612",
            "telephone_number": "802-626-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 BROAD ST",
            "city": "LYNDONVILLE",
            "state": "VT",
            "postal_code": "058518629",
            "telephone_number": "802-626-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARIC",
        "first_name": "RON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-23",
        "last_updated": "2011-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "047856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndonville, VT

Sources for this page

Verify at the official NPI Registry.