Individual provider Active NPI

Michael Edward Sleeman, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bennington, VT
National Provider Identifier
1891839205
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
016-0000886 Issued in VT
Practice address
211 School St
Bennington, VT 05201-2510
Phone
(802) 447-7987
Fax
(802) 447-7999
NPI assigned
Feb 18, 2007
Last updated
Sep 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 016-0000886 VT Primary

Addresses

Primary practice location

211 School St
Bennington, VT 05201-2510

Mailing address

211 School St
Bennington, VT 05201-2510
Phone (802) 447-7987

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
016-0000886VTMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Bennington Orthodontics PLLC Orthodontics and Dentofacial Orthopedics CurrentSince Oct 5, 2021 Accepting new patients

Locations

211 School St
Bennington, VT 05201
Phone (802) 447-7987

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": "1171756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1891839205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 SCHOOL ST",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052012510",
            "telephone_number": "802-447-7987",
            "fax_number": "802-447-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 SCHOOL ST",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052012510",
            "telephone_number": "802-447-7987",
            "fax_number": "802-447-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLEEMAN",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-18",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VT",
            "license": "016-0000886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bennington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.