Individual provider Active NPI

Matthew T Dayton, CCMA

  • Nurse's Aide
  • Rutland, VT
National Provider Identifier
1629875604
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
075.0103576 Issued in VT
Practice address
79 Center St Ste 1-1
Rutland, VT 05701-4061
Phone
(802) 772-7107
Fax
(802) 772-9003
NPI assigned
Feb 27, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 075.0103576 VT Primary

Addresses

Primary practice location

79 Center St Ste 1-1
Rutland, VT 05701-4061

Mailing address

7 Maple St
Fair Haven, VT 05743-1128
Phone (802) 683-7790

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
075.0103576VTMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Taconic Essential Primary Care CurrentSince Mar 11, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nurse_cma@taconicessentialpcp.kareodirect.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1740614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1629875604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MAPLE ST",
            "city": "FAIR HAVEN",
            "state": "VT",
            "postal_code": "057431128",
            "telephone_number": "802-683-7790",
            "fax_number": "802-772-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 CENTER ST STE 1-1",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014061",
            "telephone_number": "802-772-7107",
            "fax_number": "802-772-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAYTON",
        "first_name": "MATTHEW",
        "middle_name": "T",
        "credential": "CCMA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "VT",
            "license": "075.0103576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutland, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.