Individual provider Active NPI

Michael Taher, DMD

  • General Practice Dentistry
  • Essex Junction, VT
National Provider Identifier
1649700600
Registry record updated Jun 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
016.0130585 Issued in VT
Practice address
8 Essex Way Ste 100
Essex Junction, VT 05452-3422
Phone
(802) 879-1233
NPI assigned
Jun 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 016.0130585 VT Primary

Addresses

Primary practice location

8 Essex Way Ste 100
Essex Junction, VT 05452-3422

Mailing address

12 Overlook Dr
South Burlington, VT 05403-7883
Phone (508) 335-2171

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
016.0130585VTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Taher Family Dental LLC CurrentSince Mar 20, 2022 Accepting new patients
Alderbrook Dental Associates, P.C. General Practice Past Accepting new patients

Locations

32 W Boylston St
West Boylston, MA 01583
Phone (508) 835-2525

Organizations & group practices 2

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": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497312000000",
    "number": "1649700600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 OVERLOOK DR",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037883",
            "telephone_number": "508-335-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 ESSEX WAY STE 100",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054523422",
            "telephone_number": "802-879-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAHER",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-13",
        "last_updated": "2017-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "016.0130585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex Junction, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2017; 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.