George Venczel

Primary specialty

DentistTaxonomy code 122300000X

License

DE00009580 Issued in WA

Practice address

600 N I St Apt 10
Aberdeen, WA 98520-2532

Phone

(360) 538-4394

NPI assigned

Mar 20, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205971200000",
    "number": "1104097898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N I ST APT 10",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985202532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N I ST APT 10",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985202532",
            "telephone_number": "360-538-4394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENCZEL",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D11764",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00009580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Jean Valentine
• Nathan Howard Valentine, FNP-BC
• Kirsten Vallier, THERAPIST
• Sharon Gail Vanover Wuerth, MSN ARNP
• Laryssa Dawn Vazquez, LPN
• Ashwin Venkataraman, MD
• Jessica Darlene Verboomen
• Jessica Marie Vessey
• Bryana K Vice, MOTR/L
• Rasine Amber Vidmore, AAC

• Dentist in Aberdeen, WA
• Providers in Aberdeen, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.