Active NPI
Daniel Everett Oakes, D.D.S.
- General Practice Dentistry
- Ludlow, VT
National Provider Identifier
1619018199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 016-0002026
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1005846 | Medicaid | VT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 050078-1 | NY | MD | General Practice Dentistry |
| 016-0002026 | VT | MD | General Practice Dentistry |
| 3148 | NH | MD | Physical 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.