NPIMap

Organization Active NPI

Shaftsbury Dental Center PC

  • Dentist
  • Shaftsbury, VT
National Provider Identifier
1730484213
Registry record updated Feb 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SHAFTSBURY DENTAL CENTER PC
Practice address
677 Route 7a
Shaftsbury, VT 05262
Phone
(802) 442-7300
Fax
(802) 442-7117
NPI assigned
Jan 14, 2011
Last updated
Feb 22, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2018

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

Authorized official

Name
Dr. Tyler J Carmack, DMDNPI 1538390042
Title
Dentist
Phone
(802) 442-7300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

677 Route 7a
Shaftsbury, VT 05262

Mailing address

PO Box 467
Shaftsbury, VT 05262-0467
Phone (802) 442-7300

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1294963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519257600000",
    "number": "1730484213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 467",
            "city": "SHAFTSBURY",
            "state": "VT",
            "postal_code": "052620467",
            "telephone_number": "802-442-7300",
            "fax_number": "802-442-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 ROUTE 7A",
            "city": "SHAFTSBURY",
            "state": "VT",
            "postal_code": "05262",
            "telephone_number": "802-442-7300",
            "fax_number": "802-442-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAFTSBURY DENTAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-14",
        "last_updated": "2018-02-22",
        "status": "A",
        "authorized_official_last_name": "CARMACK",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "802-442-7300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shaftsbury, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; 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.