Thomas Elliot Vukodinovich, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9526 Issued in MN

Practice address

542 Snelling Ave S
Saint Paul, MN 55116-1565

Phone

(651) 690-5497

Fax

(651) 698-8012

NPI assigned

Jan 22, 2007

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

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.

Opted out of Medicare

Yes, effective Feb 3, 2017 through Feb 3, 2027

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Blaine Dentistry, PC

  • General Practice Dentistry
  • Blaine, MN
  • NPI 1982007803
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124172754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 DOUGLAS RD",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551183631",
            "telephone_number": "651-452-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 SNELLING AVE S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161565",
            "telephone_number": "651-690-5497",
            "fax_number": "651-698-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUKODINOVICH",
        "first_name": "THOMAS",
        "middle_name": "ELLIOT",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "9526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paly Vue
• Touvang Vue, COTA
• Xiong Vue, LICSW
• Yer G Vue, O.D.
• Jacob Vukelich, DPT
• Ardiana Vuljaj, MD
• Venkata S Vundamati, M.D.
• Khuong Vuong, M.D.
• Tuyet Nga Dinh Vuong, D.D.S.
• W. Winston & Associates, LLC

• General Practice Dentistry in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• General Practice Dentistry in Minnesota

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

Verify at the official NPI Registry.