NPIMap

Organization Active NPI

Horizon Dental Associates

  • General Practice Dentistry
  • Brattleboro, VT
National Provider Identifier
1619096013
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3000999 Issued in VT
Legal business name
HORIZON DENTAL ASSOCIATES
Practice address
72 Landmark Hill Dr
Brattleboro, VT 05301-9168
Phone
(802) 254-9244
Fax
(802) 254-3820
NPI assigned
Mar 28, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joseph Ross Yudin, DDSNPI 1679512461
Title
Owner Dentist
Phone
(802) 254-9244

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3000999 VT Primary

Addresses

Primary practice location

72 Landmark Hill Dr
Brattleboro, VT 05301-9168

Mailing address

72 Landmark Hill Dr
Brattleboro, VT 05301-9168
Phone (802) 254-9244

Other identifiers 1

IdentifierTypeStateIssuer
1001769MedicaidVT

National Provider Directory

National Provider Directory

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": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619096013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 LANDMARK HILL DR",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053019168",
            "telephone_number": "802-254-9244",
            "fax_number": "802-254-3820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 LANDMARK HILL DR",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053019168",
            "telephone_number": "802-254-9244",
            "fax_number": "802-254-3820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YUDIN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "802-254-9244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "3000999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001769",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brattleboro, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.