Viviana Vagalau Pawlick, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901018274 Issued in MI

Practice address

220 W Garfield Ave
Charlevoix, MI 49720-1631

Phone

(231) 547-6523

Fax

(231) 547-6238

NPI assigned

Jan 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Viviana Dina Vagalau Professional name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124172838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8998 GAUNT RD",
            "city": "EAST JORDAN",
            "state": "MI",
            "postal_code": "497278646",
            "telephone_number": "231-536-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W GARFIELD AVE",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497201631",
            "telephone_number": "231-547-6523",
            "fax_number": "231-547-6238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWLICK",
        "first_name": "VIVIANA",
        "middle_name": "VAGALAU",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901018274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4800808",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIVIANA",
            "last_name": "VAGALAU",
            "middle_name": "DINA",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Glenn Gilbert Paramo, DDS
• Sarah Joy Pardee
• Leah Marie Parra, LMSW
• Celia Partida Kelly, MA,LPC,CAADC,CTP,EMD
• Matthew William Pawlick, DDS
• Arvin Jay Pearlman, JURIS DOCTOR, CCAR
• Shannon Kristine Pemble
• Tanesha Pfeifer, LMSW
• Pine River Medical Associates, P.C.
• Pine River Psychological Services PLLC

• Dentist in Charlevoix, MI
• Providers in Charlevoix, MI by specialty
• Dentist in Michigan

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

Verify at the official NPI Registry.