Michael Kent Shafer, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

692 Issued in VT

Practice address

54 Main St
Windsor, VT 05089-1321

Phone

(802) 674-5999

Fax

(802) 674-6176

NPI assigned

Jun 1, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Practice roles

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.

• Michael Shafer DDS

  • General Practice Dentistry
  • Springfield, VT
  • NPI 1174633580
  NPD (past) Authorized official

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1962406215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 GOULDEN RIDGE RD",
            "city": "SPRINGFIELD",
            "state": "VT",
            "postal_code": "051569510",
            "telephone_number": "802-674-5999",
            "fax_number": "802-674-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 MAIN ST",
            "city": "WINDSOR",
            "state": "VT",
            "postal_code": "050891321",
            "telephone_number": "802-674-5999",
            "fax_number": "802-674-6176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFER",
        "first_name": "MICHAEL",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001952",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith Elizabeth Ross, ARNP
• Kenneth Walker Rudd II, MD, MPH, DABFM
• David P Russo, MD
• Marlene H Sachs, MD
• Catherine A Schneider, MD
• Jennifer Anne Skrocki, APRN FNP-BC
• Robert S. Slocum, MD
• Elizabeth P. Smith, LICSW
• Virginia Snide
• Kate Sohngen, BA

• General Practice Dentistry in Windsor, VT
• Providers in Windsor, 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 13, 2026; 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.