Organization Active NPI

John Roos Incorporated

  • General Practice Physician
  • Burlington, VT
National Provider Identifier
1568769818
Registry record updated Jun 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
JOHN ROOS INCORPORATED
Practice address
2 Church St
Burlington, VT 05401-4299
Phone
(802) 864-7967
NPI assigned
Feb 23, 2011
Last updated
Jun 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2011

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

Authorized official

Name
John Roos
Title
President
Phone
(802) 864-7967

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

2 Church St
Burlington, VT 05401-4299

Mailing address

2 Church St
Burlington, VT 05401-4299
Phone (802) 864-7967

National Provider Directory

National Provider Directory

Locations

2 Church St
Burlington, VT 05401
Phone (802) 233-0447

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309132800000",
    "number": "1568769818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CHURCH ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014299",
            "telephone_number": "802-864-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CHURCH ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014299",
            "telephone_number": "802-864-7967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN ROOS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-23",
        "last_updated": "2011-06-27",
        "status": "A",
        "authorized_official_last_name": "ROOS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-864-7967"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; 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.