Active NPI
Mary Dill, MD
- Family Medicine Physician
- Williston, VT
National Provider Identifier
1700971728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 042-0008471
- Practice address
- 586 Oak Hill Rd
Williston, VT 05495-7103 - Phone
- (802) 878-8131
- Fax
- (802) 879-6853
- NPI assigned
- Oct 4, 2006
- Last updated
- Dec 8, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 042-0008471 | VT | Primary |
Addresses
Primary practice location
586 Oak Hill Rd
Williston, VT 05495-7103
Mailing address
586 Oak Hill Rd
Williston, VT 05495-7103
Phone (802) 878-8131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0VN0101 | 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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas Chittenden Health Center, PLC | Family Medicine | Current | Accepting new patients |
Locations
586 Oak Hill Rd
Williston, VT 05495
Phone (802) 878-8131
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Williston, VT
- NPI 1811099229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260230400000",
"number": "1700971728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "586 OAK HILL RD",
"city": "WILLISTON",
"state": "VT",
"postal_code": "054957103",
"telephone_number": "802-878-8131",
"fax_number": "802-879-6853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "586 OAK HILL RD",
"city": "WILLISTON",
"state": "VT",
"postal_code": "054957103",
"telephone_number": "802-878-8131",
"fax_number": "802-879-6853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILL",
"first_name": "MARY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2009-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VT",
"license": "042-0008471",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0VN0101",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Williston, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.