Ronald E Ducham, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

418 Issued in VT

Practice address

501 Portland St
St Johnsbury, VT 05819-2054

Phone

(802) 748-4727

Fax

(802) 748-8490

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932283488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 PORTLAND ST",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058192054",
            "telephone_number": "802-748-4727",
            "fax_number": "802-748-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 PORTLAND ST",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058192054",
            "telephone_number": "802-748-4727",
            "fax_number": "802-748-8490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCHAM",
        "first_name": "RONALD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001385",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eugene Joseph Dixon, M.D.
• Kara Downing
• Brian Adam Doyer, MOT,OTR/L
• Craig D Dreisbach, M.D.
• Anna Driscoll, NP
• Brittany Duchene, M.D.
• Marie P. Dumas, ACNP-AG
• Maria Anne Dunlavey
• Andre Jermaine Eason Jr., LADC, LCMHC
• Hezekia Hawk Eastman

• General Practice Dentistry in St Johnsbury, VT
• Providers in St Johnsbury, VT by specialty
• General Practice Dentistry in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.