NPIMap

Organization Active NPI

Golden 246 North Main PLLC

Doing business as Associates in Comprehensive Dental Care

  • Dentist
  • Wiliston, VT
National Provider Identifier
1669825659
Registry record updated Jul 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0160120271 Issued in VT
Legal business name
GOLDEN 246 NORTH MAIN PLLC
Doing business as
Associates in Comprehensive Dental Care
Practice address
25 Bishop Ave
Wiliston, VT 05495
Phone
(802) 878-1170
NPI assigned
Jul 14, 2016
Last updated
Jul 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2016

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

Authorized official

Name
Dr. Roni Golden, DDS
Title
Owner
Phone
(802) 878-1170

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0160088849 VT
Dentist 122300000X 0160120271 VT Primary

Addresses

Primary practice location

25 Bishop Ave
Wiliston, VT 05495

Mailing address

PO Box 1277
25 Bishop Ave
Williston, VT 05495-1277
Phone (802) 878-1170

Other names 1

  • Associates in Comprehensive Dental Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468454400000",
    "number": "1669825659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1277",
            "address_2": "25 BISHOP AVE",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054951277",
            "telephone_number": "802-878-1170",
            "fax_number": "802-872-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BISHOP AVE",
            "city": "WILISTON",
            "state": "VT",
            "postal_code": "05495",
            "telephone_number": "802-878-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN 246 NORTH MAIN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-14",
        "last_updated": "2016-07-14",
        "status": "A",
        "authorized_official_last_name": "GOLDEN",
        "authorized_official_first_name": "RONI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-878-1170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VT",
            "license": "0160088849",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VT",
            "license": "0160120271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Associates in Comprehensive Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wiliston, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; 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.