Craig E Vinkovich, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17264 Issued in OH

Practice address

6675 North Royalton Rd
North Royalton, OH 44133

Phone

(440) 237-3223

Fax

(440) 237-2738

NPI assigned

Oct 3, 2006

Sex

Male

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• KY PPO C-SNP
• devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
• devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
• devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013001684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10019 HUNTING DR",
            "city": "BREAKSVILLE",
            "state": "OH",
            "postal_code": "44141",
            "telephone_number": "440-526-0613",
            "fax_number": "440-237-2738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6675 NORTH ROYALTON RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "44133",
            "telephone_number": "440-237-3223",
            "fax_number": "440-237-2738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINKOVICH",
        "first_name": "CRAIG",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "17264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Turner Lindsey, LPCC
• Elizabeth A Turpish, CNS
• Beverly A Ulbrich
• Kia Vantaggi, RPH
• Yvonne Karin Vincent, RN
• Derek Vinkovich, D.D.S
• Vitalxchange Inc
• Jordan Andrew Ward, FNP-C
• Emad Wasef, FNP-C
• Pamela Magna Whitcomb, LPN

• General Practice Dentistry in North Royalton, OH
• Providers in North Royalton, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.