Active NPI
Green Mountain ENT
- Otolaryngology Physician
- Saint Albans, VT
National Provider Identifier
1972646602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- GREEN MOUNTAIN ENT
- Practice address
- 260 Crest Rd
Saint Albans, VT 05478-9503 - Phone
- (802) 527-1976
- Fax
- (802) 527-0865
- NPI assigned
- Feb 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Darin Wright, M.D.
- Title
- Physician Owner
- Phone
- (802) 527-1976
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Primary |
Addresses
Primary practice location
260 Crest Rd
Saint Albans, VT 05478-9503
Mailing address
PO Box 1352
Williston, VT 05495-1352
Phone (802) 524-7100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1008985 | Medicaid | VT |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1972646602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1352",
"city": "WILLISTON",
"state": "VT",
"postal_code": "054951352",
"telephone_number": "802-524-7100",
"fax_number": "802-524-7021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 CREST RD",
"city": "SAINT ALBANS",
"state": "VT",
"postal_code": "054789503",
"telephone_number": "802-527-1976",
"fax_number": "802-527-0865"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREEN MOUNTAIN ENT",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WRIGHT",
"authorized_official_first_name": "DARIN",
"authorized_official_title_or_position": "PHYSICIAN OWNER",
"authorized_official_telephone_number": "802-527-1976",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1008985",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Albans, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.