Individual provider Active NPI

James Edward Freeman IV, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Colchester, VT
National Provider Identifier
1760452437
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
016.0084809 Issued in VT
Practice address
441 Watertower Cir Ste 100
Colchester, VT 05446-5801
Phone
(802) 862-9196
Fax
(802) 862-5769
NPI assigned
Jan 25, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 016.0084809 VT Primary

Addresses

Primary practice location

441 Watertower Cir Ste 100
Colchester, VT 05446-5801

Mailing address

441 Watertower Cir Ste 100
Colchester, VT 05446-5801
Phone (802) 862-9196

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180702003066 VT Order and Referring Only - Oral SurgeryPractitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 4688825151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University of Vermont Medical Center Inc CurrentSince Sep 1, 2021 Accepting new patients
Cvoms Associates, PC Oral and Maxillofacial Surgery Current Accepting new patients

Locations

441 Watertower Cir
#100
Colchester, VT 05446
Phone (802) 655-7575

118 Tilley Dr
Ste 102
South Burlington, VT 05403
Phone (802) 847-4600

Organizations & group practices 2

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1760452437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 WATERTOWER CIR STE 100",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054465801",
            "telephone_number": "802-862-9196",
            "fax_number": "802-862-5769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 WATERTOWER CIR STE 100",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054465801",
            "telephone_number": "802-862-9196",
            "fax_number": "802-862-5769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "JAMES",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2023-03-07",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VT",
            "license": "016.0084809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colchester, VT

Sources for this page

Verify at the official NPI Registry.