Active NPI
Brad K Kline, DMD
- Dentist
- Burlington, VT
National Provider Identifier
1659401610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 16-0001195
- Practice address
- 61 S Willard St
Burlington, VT 05401-3419 - Phone
- (802) 658-2464
- Fax
- (802) 372-9400
- NPI assigned
- Mar 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
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.
-
- General Practice Dentistry
- Burlington, VT
- NPI 1376356758
-
- General Practice Dentistry
- Burlington, VT
- NPI 1063563732
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 |
|---|---|---|---|
| 16-0001195 | VT | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bruce C. Latelle & Albert St..Amand DDS PTR | Past | Accepting new patients | |
| Amazing Smiles Dental | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 16-0001195 | VT | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
61 S Willard St
Burlington, VT 05401-3419
Mailing address
61 S Willard St
Burlington, VT 05401-3419
Phone (802) 863-1315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 27, 2012.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353974400000",
"number": "1659401610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 S WILLARD ST",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054013419",
"telephone_number": "802-863-1315",
"fax_number": "802-651-9301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 S WILLARD ST",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054013419",
"telephone_number": "802-658-2464",
"fax_number": "802-372-9400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLINE",
"first_name": "BRAD",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-07",
"last_updated": "2012-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VT",
"license": "16-0001195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.