Organization Active NPI

Associates in Periodontics, PLC

  • Periodontics
  • Burlington, VT
National Provider Identifier
1689619074
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
016-00981 Issued in VT
Legal business name
ASSOCIATES IN PERIODONTICS, PLC
Practice address
247 Pearl St
Suite 2
Burlington, VT 05401-8572
Phone
(802) 863-5447
NPI assigned
Jun 18, 2006
Last updated
Jun 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Authorized official

Name
Dr. Brian D. Shuman, DMDNPI 1659376465
Title
Officer
Phone
(802) 863-5447

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 016-00981 VT Primary

Addresses

Primary practice location

247 Pearl St
Suite 2
Burlington, VT 05401-8572

Mailing address

247 Pearl St
Burlington, VT 05401-8572
Phone (802) 863-5447

National Provider Directory

National Provider Directory

Locations

248 S Main St
Barre, VT 05641
Phone (802) 476-0995

1775 Williston Rd
Ste 250
South Burlington, VT 05403
Phone (802) 863-5447

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1689619074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 PEARL ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054018572",
            "telephone_number": "802-863-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 PEARL ST",
            "address_2": "SUITE 2",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054018572",
            "telephone_number": "802-863-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN PERIODONTICS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "SHUMAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "802-863-5447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "VT",
            "license": "016-00981",
            "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 Jun 3, 2009; 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.