Active NPI
Jennifer Niles, DMD
- Dentist
- Essex JCT, VT
National Provider Identifier
1649526468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 016.0088863
- Practice address
- 4 Kellogg Rd
Essex JCT, VT 05452-2815 - Phone
- (802) 879-5151
- NPI assigned
- Jul 30, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 016.0088863 | VT | Primary |
Addresses
Primary practice location
4 Kellogg Rd
Essex JCT, VT 05452-2815
Mailing address
4 Kellogg Rd
Essex JCT, VT 05452-2815
Phone (802) 879-5151
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
| License | State | Type | Specialty |
|---|---|---|---|
| 016.0088863 | VT | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343606400000",
"number": "1649526468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 KELLOGG RD",
"city": "ESSEX JCT",
"state": "VT",
"postal_code": "054522815",
"telephone_number": "802-879-5151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 KELLOGG RD",
"city": "ESSEX JCT",
"state": "VT",
"postal_code": "054522815",
"telephone_number": "802-879-5151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NILES",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-30",
"last_updated": "2012-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VT",
"license": "016.0088863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Essex JCT, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.