VDC-Crystal River PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN7162 Issued in FL

Legal business name

VDC-CRYSTAL RIVER PA

Practice address

6824 W Gulf to Lake Hwy
Crystal River, FL 34429-7806

Phone

(352) 684-1274

Fax

(352) 263-2756

NPI assigned

Jan 27, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Janeen M Gorman

Title

Manger

Phone

(352) 684-1274

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1053683722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6824 W GULF TO LAKE HWY",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344297806",
            "telephone_number": "352-684-1274",
            "fax_number": "352-263-2756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6824 W GULF TO LAKE HWY",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344297806",
            "telephone_number": "352-684-1274",
            "fax_number": "352-263-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VDC-CRYSTAL RIVER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "GORMAN",
        "authorized_official_first_name": "JANEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "352-684-1274",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN7162",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17567",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17081",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Owen J Twiner, D.C.
• James R Tzivanis, RPA
• Ultimate Nursing Care LLC.
• Brandie Underwood
• Susan Arlene Vanwalker, ITDS
• Vdccr,P.a.
• Enrique Velazquez, M.D.
• Robertus Veldwijk, PHYSICAL THERAPIST
• Patricia Mary Veltman, LDO
• Victoria L Torralba MD

• General Practice Dentistry in Crystal River, FL
• Providers in Crystal River, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.