Ronald Kingsley St. John. Jr., D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

016.0095742 Issued in VT

Practice address

212 Prouty Dr
Suite 1
Newport, VT 05855-9851

Phone

(802) 334-6965

Fax

(802) 334-6606

NPI assigned

Jun 20, 2013

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

Other names 1

• Dr. Ron K St. John Jr. Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• James V. Wyllie, DDS P.C.

  • General Practice Dentistry
  • Newport, VT
  • NPI 1760695597
  NPD (past)
• Northern Counties Health Care

  • Dentist
  • Orleans, VT
  • NPI 1427503630
  NPD (past)
• Northern Counties Health Care

  • Nurse Practitioner
  • St Johnsbury, VT
  • NPI 1609966944
  NPD (past)

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1659710853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 PROUTY DR",
            "address_2": "SUITE 1",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058559851",
            "telephone_number": "802-334-6965",
            "fax_number": "802-334-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 PROUTY DR",
            "address_2": "SUITE 1",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058559851",
            "telephone_number": "802-334-6965",
            "fax_number": "802-334-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. JOHN.",
        "first_name": "RONALD",
        "middle_name": "KINGSLEY",
        "name_suffix": "Jr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-20",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VT",
            "license": "016.0095742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RON",
            "last_name": "ST. JOHN",
            "middle_name": "K",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "D.M.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jaime Snell, B.S.
• Amy Snider, LCMHC
• Alice A Soucy, D.C.
• Danielle L Speer, NP
• Judith Springer
• Seth L Starr, DPT
• Sharon Steadman, MA
• Nancy Lynn Stevenson-Lyon, ATC
• Marcia Stricker, LADC
• Peter John Stuart, M.D.

• Dentist in Newport, VT
• Providers in Newport, VT by specialty
• Dentist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; 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.