Individual provider Active NPI

Nusi Peczi Brown, DMD

  • Dentist
  • Rutland, VT
National Provider Identifier
1609224344
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
016.0121682 Issued in VT
Practice address
180 Grove St
Rutland, VT 05701-2904
Phone
(802) 342-1939
NPI assigned
Jun 2, 2016
Last updated
Jun 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 016.0121682 VT Primary

Addresses

Primary practice location

180 Grove St
Rutland, VT 05701-2904

Mailing address

118 Tilley Dr Ste 101
South Burlington, VT 05403-4450
Phone (802) 863-3950

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
I20170118001747 VT Order and Referring Only - DentistPractitioner - Dentist 1557643087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016.0121682VTMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Theodorou Dental Partners LLC Dentist Past Accepting new patients
Green Mountain Dental, PLC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1609224344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 TILLEY DR STE 101",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054034450",
            "telephone_number": "802-863-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 GROVE ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057012904",
            "telephone_number": "802-342-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "NUSI",
        "middle_name": "PECZI",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-02",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VT",
            "license": "016.0121682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutland, VT

Sources for this page

Verify at the official NPI Registry.