Jonathan Vongschanphen, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

48564 Issued in CA

Practice address

6819 Lonetree Blvd
Suite 106
Rocklin, CA 95765-5877

Phone

(916) 772-2838

Fax

(916) 772-3116

NPI assigned

Feb 20, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073658894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6819 LONETREE BLVD",
            "address_2": "SUITE 106",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957655877",
            "telephone_number": "916-772-2838",
            "fax_number": "916-772-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6819 LONETREE BLVD",
            "address_2": "SUITE 106",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957655877",
            "telephone_number": "916-772-2838",
            "fax_number": "916-772-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONGSCHANPHEN",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alona Volchkova
• Volkmar I. Felahy, D.D.S. a Professional Corporation
• Corie Volmer, MA, CCC-SLP
• Matthew Charles Volzer
• Jakob Von Morgenland
• Brian Vu, PHARM.D.
• Johanna Tu Tram Vu
• Craig S Wada, D.D.S.
• Dawn Wade, MA, LMFT, ATR, CHT
• Elijah Wade

• General Practice Dentistry in Rocklin, CA
• Providers in Rocklin, CA by specialty
• General Practice Dentistry in California

• 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.