NPIMap

Organization Active NPI

Paul D. Dunkling, DDS

  • General Practice Dentistry
  • Jericho, VT
National Provider Identifier
1609090190
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0160000916 Issued in VT
Legal business name
PAUL D. DUNKLING, DDS
Practice address
22 Raceway Rd
Jericho, VT 05465-2100
Phone
(802) 899-3973
Fax
(802) 899-5895
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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

Authorized official

Name
Ms. Pennie Companion
Title
Office Manager
Phone
(802) 899-3973

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0160000916 VT Primary

Addresses

Primary practice location

22 Raceway Rd
Jericho, VT 05465-2100

Mailing address

22 Raceway Rd
Jericho, VT 05465-2100
Phone (802) 899-3973

Other identifiers 1

IdentifierTypeStateIssuer
0002479MedicaidVT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1609090190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 RACEWAY RD",
            "city": "JERICHO",
            "state": "VT",
            "postal_code": "054652100",
            "telephone_number": "802-899-3973",
            "fax_number": "802-899-5895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 RACEWAY RD",
            "city": "JERICHO",
            "state": "VT",
            "postal_code": "054652100",
            "telephone_number": "802-899-3973",
            "fax_number": "802-899-5895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL D. DUNKLING, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "COMPANION",
        "authorized_official_first_name": "PENNIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "802-899-3973",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "0160000916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0002479",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jericho, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.