Active NPI
Robert Pierce Munson, DDS
- General Practice Dentistry
- Bradford, VT
National Provider Identifier
1689708240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 957
- Practice address
- 320 Upper Plain (Rte 5)
Bradford, VT 05033-0322 - Phone
- (802) 222-5594
- Fax
- (802) 222-4435
- NPI assigned
- Mar 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 957 | VT | Primary |
Addresses
Primary practice location
320 Upper Plain (Rte 5)
Bradford, VT 05033-0322
Mailing address
PO Box 322
Bradford, VT 05033-0322
Phone (802) 222-5594
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0002486 | Medicaid | VT |
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 |
|---|---|---|---|
| 957 | VT | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1689708240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 322",
"city": "BRADFORD",
"state": "VT",
"postal_code": "050330322",
"telephone_number": "802-222-5594",
"fax_number": "802-222-4435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 UPPER PLAIN (RTE 5)",
"city": "BRADFORD",
"state": "VT",
"postal_code": "050330322",
"telephone_number": "802-222-5594",
"fax_number": "802-222-4435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNSON",
"first_name": "ROBERT",
"middle_name": "PIERCE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VT",
"license": "957",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0002486",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bradford, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.