Organization Active NPI

Connecticut Valley Orthopaedics & Sports Medicine, PC

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Springfield, VT
National Provider Identifier
1619989738
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
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 Directory

Locations

29 Ridgewood Rd
Springfield, VT 05156
Phone (802) 885-5733

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204C00000X VT Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
VN1017MedicaidVT
30008018MedicaidNH

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.

Verify at the official NPI Registry.