Individual provider Active NPI

Daniel Everett Oakes, D.D.S.

  • General Practice Dentistry
  • Ludlow, VT
National Provider Identifier
1619018199
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
016-0002026 Issued in VT
Practice address
14 Grettos Gap
Ludlow, VT 05149-9305
Phone
(802) 228-7495
NPI assigned
Feb 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 016-0002026 VT Primary
General Practice Dentistry 1223G0001X 3148 NH
General Practice Dentistry 1223G0001X 050078-1 NY

Addresses

Primary practice location

14 Grettos Gap
Ludlow, VT 05149-9305

Mailing address

14 Grettos Gap
Ludlow, VT 05149-9305
Phone (802) 228-7495

Other identifiers 1

IdentifierTypeStateIssuer
1005846MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
050078-1NYMDGeneral Practice Dentistry
016-0002026VTMDGeneral Practice Dentistry
3148NHMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619018199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 GRETTOS GAP",
            "city": "LUDLOW",
            "state": "VT",
            "postal_code": "051499305",
            "telephone_number": "802-228-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 GRETTOS GAP",
            "city": "LUDLOW",
            "state": "VT",
            "postal_code": "051499305",
            "telephone_number": "802-228-7495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OAKES",
        "first_name": "DANIEL",
        "middle_name": "EVERETT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "016-0002026",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "3148",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050078-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1005846",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ludlow, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.