Renay Ivens

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

016-0002223 Issued in VT

Practice address

138 Fiddlers GRN
Waitsfield, VT 05673-6007

Phone

(802) 496-2524

NPI assigned

Feb 5, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• B and J Dental

  • Dental Clinic/Center
  • Waterbury, VT
  • NPI 1932872181
  NPD (past)
• Valley Dental Associates

  • General Practice Dentistry
  • Waitsfield, VT
  • NPI 1033304621
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669511192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 BUCK HOLLOW RD",
            "city": "FAIRFAX",
            "state": "VT",
            "postal_code": "054549661",
            "telephone_number": "802-849-6841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 FIDDLERS GRN",
            "city": "WAITSFIELD",
            "state": "VT",
            "postal_code": "056736007",
            "telephone_number": "802-496-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVENS",
        "first_name": "RENAY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "016-0002223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hands at Home Care Services, LLC
• Harwood Union Unified School District
• Susanne B Heinzerling, FNP
• Nathaniel Heysler
• Terrence L Horan, D.D.S.
• Amy Dwire Jamieson, MS CCC-SLP
• Akhil Kaplan, MSOM, L.AC., DIPL.OM
• Sarah Lynn Kaplan, MSOM, L.AC.,DIPL. OM
• Elizabeth Iliff Kendrick, LCMHC, ATR-BC
• Danielle Christine Laflamme, ATC

• General Practice Dentistry in Waitsfield, VT
• Providers in Waitsfield, 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 Jul 8, 2007; 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.