Active NPI
Connecticut Valley Orthopaedics & Sports Medicine, PC
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Springfield, VT
National Provider Identifier
1619989738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Legal business name
- CONNECTICUT VALLEY ORTHOPAEDICS & SPORTS MEDICINE, PC
- Practice address
- 29 Ridgewood Rd
Springfield, VT 05156-3050 - Phone
- (802) 885-6373
- Fax
- (802) 885-6376
- NPI assigned
- Aug 13, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- David L Muller, M.D.
- Title
- Administrative Partner
- Phone
- (802) 885-6373
National Provider Directory
National Provider DirectoryLocations
29 Ridgewood Rd
Springfield, VT 05156
Phone (802) 885-5733
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Neuromusculoskeletal Medicine) Physician | 204C00000X | VT | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
29 Ridgewood Rd
Springfield, VT 05156-3050
Mailing address
29 Ridgewood Rd
Springfield, VT 05156-3050
Phone (802) 885-6373
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| VN1017 | Medicaid | VT | |
| 30008018 | Medicaid | NH |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1619989738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 RIDGEWOOD RD",
"city": "SPRINGFIELD",
"state": "VT",
"postal_code": "051563050",
"telephone_number": "802-885-6373",
"fax_number": "802-885-6376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 RIDGEWOOD RD",
"city": "SPRINGFIELD",
"state": "VT",
"postal_code": "051563050",
"telephone_number": "802-885-6373",
"fax_number": "802-885-6376"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONNECTICUT VALLEY ORTHOPAEDICS & SPORTS MEDICINE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-13",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "MULLER",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "ADMINISTRATIVE PARTNER",
"authorized_official_telephone_number": "802-885-6373",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "204C00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neuromusculoskeletal Medicine, Sports Medicine",
"state": "VT",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "VN1017",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30008018",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.