Organization Active NPI

B and J Dental

  • Dental Clinic/Center
  • Waterbury, VT
National Provider Identifier
1932872181
Registry record updated Jul 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
B AND J DENTAL
Practice address
77 S Main St Ste 3
Waterbury, VT 05676-1523
Phone
(802) 244-6366
NPI assigned
Jul 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2021

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

Authorized official

Name
Katherine Powell, DMDNPI 1881080414
Title
Dentist
Phone
(802) 244-6366

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

77 S Main St Ste 3
Waterbury, VT 05676-1523

Mailing address

77 S Main St Ste 3
Waterbury, VT 05676-1523
Phone (802) 244-6366

Other practice location 1

138 Fiddlers Grn
Waitsfield, VT 05673-6285
Phone (802) 496-2524

Other practice location 2

294 Upper Main St
Morrisville, VT 05661-8000
Phone (802) 888-7766

Other identifiers 1

IdentifierTypeStateIssuer
1881080414MedicaidVT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1627171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627171200000",
    "number": "1932872181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 S MAIN ST STE 3",
            "city": "WATERBURY",
            "state": "VT",
            "postal_code": "056761523",
            "telephone_number": "802-244-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 S MAIN ST STE 3",
            "city": "WATERBURY",
            "state": "VT",
            "postal_code": "056761523",
            "telephone_number": "802-244-6366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "138 Fiddlers Grn",
            "address_purpose": "LOCATION",
            "city": "Waitsfield",
            "state": "VT",
            "postal_code": "056736285",
            "country_code": "US",
            "telephone_number": "802-496-2524",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "294 Upper Main St",
            "address_purpose": "LOCATION",
            "city": "Morrisville",
            "state": "VT",
            "postal_code": "056618000",
            "country_code": "US",
            "telephone_number": "802-888-7766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "B AND J DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-25",
        "last_updated": "2021-07-25",
        "certification_date": "2021-07-25",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "802-244-6366",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881080414",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.