Kameron R. Schaberg, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6547 Issued in WI

Practice address

48 Main St
Essex Junction, VT 05452-3126

Phone

(802) 878-4664

Fax

(802) 878-8456

NPI assigned

Jul 1, 2010

Last updated

Aug 11, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Richard Bellino, DDS

  • General Practice Dentistry
  • Essex Junction, VT
  • NPI 1548354780
  NPD (past)

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407715200000",
    "number": "1639480916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 MAIN ST",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054523126",
            "telephone_number": "802-878-4664",
            "fax_number": "802-878-8456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 MAIN ST",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054523126",
            "telephone_number": "802-878-4664",
            "fax_number": "802-878-8456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHABERG",
        "first_name": "KAMERON",
        "middle_name": "R.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-01",
        "last_updated": "2014-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Morgan Rocheleau, MSW, LICSW
• Molly Roush
• Robert Edward Russo
• Taimoor Saeed, PHARM-D
• Matthew Justin Salter, PA-C
• Michael Joseph Schaeffer, PHARMD
• Shelby Tate Schnatz, MS, RD, CD
• Jessica Scott, MS
• Zynnia Seidita, MA, NCC
• Erika Dietlinde Senft Miller, MSPT. EDD

• General Practice Dentistry in Essex Junction, VT
• Providers in Essex Junction, VT by specialty
• General Practice Dentistry in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.