Aerwen E Stagers

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

016-0070497 Issued in VT

Practice address

1340 Williston Rd
S Burlington, VT 05403-6469

Phone

(802) 847-2700

NPI assigned

Mar 19, 2010

Last updated

Oct 29, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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.

• Williston Road Family Dental , PLC

  • Dental Clinic/Center
  • South Burlington, VT
  • NPI 1063786374
  NPD (past)

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351468800000",
    "number": "1962726935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 WILLISTON RD",
            "city": "S BURLINGTON",
            "state": "VT",
            "postal_code": "054036469",
            "telephone_number": "617-921-5266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 WILLISTON RD",
            "city": "S BURLINGTON",
            "state": "VT",
            "postal_code": "054036469",
            "telephone_number": "802-847-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAGERS",
        "first_name": "AERWEN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-19",
        "last_updated": "2012-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "016-0070497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick C. Schottel, M.D.
• Lauren Marie Senesac, PHARMD
• Steven Sobel, DC
• Spinal Care & Decompression Center
• Spinal Care and Decompression Center (Spinal Care Center Physical Therapy)
• Cynthia Stanford, M.ED., LMFT
• Emily B Stone, MS, R.D.
• Lara M. Stone, D.P.M.
• University of Vermont Medical Center Inc
• University of Vermont Medical Center Inc (University of Vermont Medical Center Home Dialysis)

• General Practice Dentistry in S Burlington, VT
• Providers in S Burlington, 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 Oct 29, 2012; 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.