Darren Vicenti, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

36921 Issued in CO

Practice address

Hwy 264 MP 388
Polacca, AZ 86042

Phone

(928) 737-6000

Fax

(928) 737-6001

NPI assigned

Feb 2, 2007

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Cochiti Health Clinic

  • General Acute Care Hospital
  • Cochiti Pueblo, NM
  • NPI 1093814691
  NPD (past)
• San Felipe Health Clinic

  • General Acute Care Hospital
  • San Felipe, NM
  • NPI 1831274851
  NPD (past)
• Santa Clara Health Center

  • General Acute Care Hospital
  • Espanola, NM
  • NPI 1043396377
  NPD (past)
• Santo Domingo Health Clinic

  • General Acute Care Hospital
  • Santo Domingo Pueblo, NM
  • NPI 1376632695
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013055672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4000",
            "city": "POLACCA",
            "state": "AZ",
            "postal_code": "860424000",
            "telephone_number": "928-737-6000",
            "fax_number": "928-737-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HWY 264 MP 388",
            "city": "POLACCA",
            "state": "AZ",
            "postal_code": "86042",
            "telephone_number": "928-737-6000",
            "fax_number": "928-737-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICENTI",
        "first_name": "DARREN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "36921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phuong Tran Nguyen, PHARMD
• TRC - Four Corners Dialysis Clinics LLC (Hopi Dialysis Center)
• Lisa Tungovia
• Veronica Fay Turner, APRN
• Johanna Vega-Hall, RN
• Kelly Anne Vitz, P.T.
• Claudia Gail Von Hendricks, DDS
• Diane Renee Weidley, RDH
• Ruth Ana Williams, RDH
• Gary Alan Wilson, DDS

• Family Medicine Physician in Polacca, AZ
• Providers in Polacca, AZ by specialty
• Family Medicine Physician in Arizona

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.