Individual provider Active NPI

Julia L Endrizzi Vecci, DMD

  • Pediatric Dentistry
  • Oxnard, CA
National Provider Identifier
1144555806
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D60951 Issued in CA
Practice address
451 W Gonzales Rd Ste 300
Oxnard, CA 93036-9003
Phone
(805) 983-0100
NPI assigned
Oct 13, 2009
Last updated
Oct 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 024803 NJ
Dentist 122300000X DS038099 PA
Pediatric Dentistry 1223P0221X D60951 CA Primary

Addresses

Primary practice location

451 W Gonzales Rd Ste 300
Oxnard, CA 93036-9003

Mailing address

451 W Gonzales Rd Ste 300
Oxnard, CA 93036-9003
Phone (805) 983-0100

Other practice location 1

1910 Marlton Pike E Ste 9
Cherry Hill, NJ 08003-2123
Phone (619) 980-4085

Other practice location 2

1755 Erringer Rd Ste 20
Simi Valley, CA 93065-6507
Phone (805) 522-2164

Other practice location 3

5101 Telegraph Rd Ste 104
Ventura, CA 93003-4155
Phone (805) 765-6448

Other practice location 4

16542 Ventura Blvd Ste 506
Encino, CA 91436-4577
Phone (818) 943-8228

Other identifiers 3

IdentifierTypeStateIssuer
22DI02480300OtherNJNEW JERSEY BOARD OF DENTISTRY
D60951OtherCADENTAL LICENSE CALIFORNIA
DS03899OtherPASTATE LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL denise.oxnard@spaceshipdentist.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
024803NJMDDentist
DS038099PAMDDentist
D60951CAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Endrizzi & Hartunian Dental PC Pediatric Dentistry Current Accepting new patients
Catherine Chien DDS Inc Pediatric Dentistry Past Accepting new patients
Oxnard Childrens Dental Group Pediatric Dentistry Past Accepting new patients
Lecia Harmer, DDS, Inc Pediatric Dentistry PastSince Feb 7, 2021 Accepting new patients
Simi Childrens Dental Group Pediatric Dentistry Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1144555806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 W GONZALES RD STE 300",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930369003",
            "telephone_number": "805-983-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 W GONZALES RD STE 300",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930369003",
            "telephone_number": "805-983-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1910 Marlton Pike E Ste 9",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080032123",
            "country_code": "US",
            "telephone_number": "619-980-4085",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1755 Erringer Rd Ste 20",
            "address_purpose": "LOCATION",
            "city": "Simi Valley",
            "state": "CA",
            "postal_code": "930656507",
            "country_code": "US",
            "telephone_number": "805-522-2164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5101 Telegraph Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930034155",
            "country_code": "US",
            "telephone_number": "805-765-6448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16542 Ventura Blvd Ste 506",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "914364577",
            "country_code": "US",
            "telephone_number": "818-943-8228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENDRIZZI VECCI",
        "first_name": "JULIA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-13",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "024803",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS038099",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "D60951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW JERSEY BOARD OF DENTISTRY",
            "identifier": "22DI02480300",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE CALIFORNIA",
            "identifier": "D60951",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "DS03899",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "denise.oxnard@spaceshipdentist.com",
            "affiliation": "N",
            "address_1": "451 W Gonzales Rd Ste 300",
            "city": "Oxnard",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930369003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.