PAUL KENWORTHY DMD PC (NPI# 1871970145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871970145 |
| Entity Type | Organization |
| Organization Name | PAUL KENWORTHY DMD PC |
| Practice Address |
1 Place Notre Dame St Johnsbury VT 05819-2223 |
| Mailing Address |
4 Kellogg Rd Essex Junction VT 05452-2815 |
| Practice Telephone | 8028795151 |
| Practice Fax Number | 8665618426 |
| Mailing Telephone | 8028795151 |
| Mailing Fax Number | 8665618426 |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-10-26 |
| Authorized Official Name | DR. PAUL KENWORTHY (OWNER/DENTIST) |
| Authorized Official Telephone | 8028795151 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
975 | VT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 2551 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285012401 | Paul Kenworthy Dmd PC | Durable Medical Equipment & Medical Supplies | 5043 Us Route 5, Newport, VT 05855-9843 | 2015-05-07 |
| Street Address |
1 PLACE NOTRE DAME |
| City | ST JOHNSBURY |
| State | VT |
| Zip Code | 05819-2223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922024546 | St. Johnsbury Dental Associates Inc. | Dentist | 1 Place Notre Dame, St Johnsbury, VT 05819-2223 | 2006-07-15 |
| 1922526813 | Darren Boles Dds Pllc | Clinic/Center | 1 Place Notre Dame, St Johnsbury, VT 05819-2223 | 2017-08-31 |
| 1568800464 | Zongjian Jia | Dentist | 1 Place Notre Dame, St Johnsbury, VT 05819-2223 | 2013-06-13 |
| 1306166384 | Aaron Mark Layton | Dentist | 1 Place Notre Dame, St Johnsbury, VT 05819-2223 | 2010-06-01 |
| 1144244575 | Peter G Miller | Dentist | 1 Place Notre Dame, St Johnsbury, VT 05819-2223 | 2006-07-27 |
| 1144249343 | James T Berrier | Dentist | 1 Place Notre Dame, St Johnsbury, VT 05819-2223 | 2006-07-19 |
| 1699792192 | Katherine Ann Silloway | Dentist | 1 Place Notre Dame, St Johnsbury, VT 05819-2223 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710457353 | Amber L Carrasquillo | Pharmacist | 438 Railroad St Apt 301, Saint Johnsbury, VT 05819 | 2018-11-27 |
| 1700378734 | Laura Amy Nixon | Physician Assistant | 41 Sherman Drive, St. Johnsbury, VT 05819 | 2018-06-05 |
| 1447797873 | Kingdom Autism and Behavioral Health, LLC | Behavioral Analyst | 397 Railroad Street, Suite Number #4, St. Johnsbury, VT 05819 | 2017-01-24 |
| 1407211493 | Scott Rosemark | Pharmacist | 957 Memorial Drive, Saint Johnsbury, VT 05819 | 2015-12-18 |
| 1134541295 | Meghan Davis | Counselor | 231 Concord Ave Ste 2, St Johnsbury, VT 05819 | 2014-01-09 |
| 1639490279 | Carol Lynn Smith | Counselor | 445 Portland St, St. Johnsbury, VT 05819 | 2010-06-17 |
| 1548435696 | Philip Lightbear | Counselor | 108 Cherry Street Suite 1, St Johnsburg, VT 05819 | 2008-04-29 |
| 1740452416 | Kimberly Dena Lightbear | Counselor | 108 Cherry Street, St Johnsbury, VT 05819 | 2008-04-02 |
| 1720262249 | Deborah B Goldberg | Psychologist | 1194 Main Street, Suite 107, St Johnsbury, VT 05819 | 2007-12-19 |
| 1154501880 | Mary Jane Egerton | Social Worker | 506 Tripp Lane, St Johnsburg, VT 05819 | 2007-11-09 |
| Find all providers in zip 05819 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285012401 | Paul Kenworthy Dmd PC | Durable Medical Equipment & Medical Supplies | 5043 Us Route 5, Newport, VT 05855-9843 | 2015-05-07 |
| 1487909974 | Vocational Rehabiliation Vermont | Durable Medical Equipment & Medical Supplies | 103 S Main St Weeks Bldg, Waterbury, VT 05671-0001 | 2012-07-20 |
| 1346521952 | C & M Specialized Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 1211 Wheelock Rd, Sutton, VT 05867-9670 | 2011-09-09 |
| 1972627883 | Philip Kramer | Durable Medical Equipment & Medical Supplies | 276 Canal St, Brattleboro, VT 05301-6464 | 2007-03-17 |
| 1215098199 | Yankee Medical Inc | Durable Medical Equipment & Medical Supplies | 141 Fairfax Rd, Saint Albans, VT 05478-6271 | 2006-12-13 |
| 1992866867 | Yankee Medical Inc | Durable Medical Equipment & Medical Supplies | 116 Benmont Ave, Bennington, VT 05201-1801 | 2006-12-13 |
| 1912966961 | Northeast Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 27 Farmvu Dr, White River Junction, VT 05001-6000 | 2006-03-20 |
| 1477536506 | Freedom Medical LLC | Durable Medical Equipment & Medical Supplies | 268 N Main St, Ste 2, St Albans, VT 05478-2500 | 2005-11-22 |
| 1174528640 | Yankee Medical Inc | Durable Medical Equipment & Medical Supplies | 276 North Ave, Burlington, VT 05401-2918 | 2005-06-20 |
| 1780196329 | Paul Kenworthy Dmd, PC | Durable Medical Equipment & Medical Supplies | 1 Kennedy Dr # Ll4, South Burlington, VT 05403-7152 | 2017-11-03 |
| Find all providers with the same taxonomy | ||||
| City | ST JOHNSBURY |
| Zip Code | 05819 |
Please comment or provide details below to improve the information on PAUL KENWORTHY DMD PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.