Nivedita Gautam, BDS, MPH, DPH

Primary specialty

DentistTaxonomy code 122300000X

License

016.0134232 Issued in VT

Practice address

66 Morrisville PLZ
Morrisville, VT 05661-4482

Phone

(802) 888-7585

Fax

(802) 888-5459

NPI assigned

Dec 5, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CDHBAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lamoille Health Partners, Inc

  • Pediatrics Physician
  • Morrisville, VT
  • NPI 1124436332
  Medicare reassignment NPD
• Lamoille Health Partners Inc.

  • Federally Qualified Health Center (FQHC)
  • Cambridge, VT
  • NPI 1538945001
  NPD
• Lamoille Health Partners, Inc

  • Dentist
  • Morrisville, VT
  • NPI 1891013793
  NPD
• Claremont Dental Group PLLC

  • General Practice Dentistry
  • Claremont, NH
  • NPI 1902343809
  NPD (past)
• Thomas R. Bacon, DDS,PA

  • General Practice Dentistry
  • Claremont, NH
  • NPI 1023212354
  NPD (past)

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1861269409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056610749",
            "telephone_number": "802-851-8619",
            "fax_number": "802-851-8716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 MORRISVILLE PLZ",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056614482",
            "telephone_number": "802-888-7585",
            "fax_number": "802-888-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUTAM",
        "first_name": "NIVEDITA",
        "name_prefix": "Dr.",
        "credential": "BDS, MPH, DPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-05",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VT",
            "license": "016.0134232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maia Friedman
• Alexis K. Gagne, P.A.-C
• Janine M Gallagher
• Joan Marie Garrity, ND
• Gary L Waring, MD
• Susan C. Geer, LICSW
• Genoa Healthcare LLC
• Gary L. Gillen, M.D.
• Frederic Gluck, MA
• Abbigail Grant, PA-C

• Dentist in Morrisville, VT
• Providers in Morrisville, VT by specialty
• Dentist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.