Individual provider Active NPI

Matthew David Giulianelli, D.M.D.

  • General Practice Dentistry
  • South Burlington, VT
National Provider Identifier
1730238593
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
016-0002229 Issued in VT
Practice address
110 Kimball Ave Ste 230
South Burlington, VT 05403-6841
Phone
(802) 899-9486
Fax
(802) 864-6402
NPI assigned
Jan 10, 2007
Last updated
Jul 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 053862 NY
General Practice Dentistry 1223G0001X 016-0002229 VT Primary

Addresses

Primary practice location

110 Kimball Ave Ste 230
South Burlington, VT 05403-6841

Mailing address

110 Kimball Ave Ste 230
South Burlington, VT 05403-6841
Phone (802) 899-9486

Other identifiers 3

IdentifierTypeStateIssuer
1012935MedicaidVT
00069459OtherVTBLUECROSS BLUESHIELD
412187837OtherVTDELTA DENTAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180629001797 VT Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1456607639

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016-0002229VTMDGeneral Practice Dentistry
053862NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Champlain Smile Solutions, PLLC General Practice Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1730238593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 KIMBALL AVE STE 230",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036841",
            "telephone_number": "802-899-9486",
            "fax_number": "802-864-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 KIMBALL AVE STE 230",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036841",
            "telephone_number": "802-899-9486",
            "fax_number": "802-864-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIULIANELLI",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "053862",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "016-0002229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012935",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "00069459",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "412187837",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Burlington, VT

Sources for this page

Verify at the official NPI Registry.