Angel Agustin Vega, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

DE00007093 Issued in WA

Practice address

1320 Harrison Av NW
Olympia, WA 98502-5349

Phone

(360) 943-5551

Fax

(360) 709-9537

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in WA

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

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.

• Costa Verde 3-D Imaging Center, PLLC

  • Dentist
  • Olympia, WA
  • NPI 1477983450
  NPD (past) Authorized official
• Chet Jenkins IV PC

  • Dental Clinic/Center
  • Olympia, WA
  • NPI 1881498004
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154349686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 HARRISON AV NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025349",
            "telephone_number": "360-943-5551",
            "fax_number": "360-709-9537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 HARRISON AV NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025349",
            "telephone_number": "360-943-5551",
            "fax_number": "360-709-9537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA",
        "first_name": "ANGEL",
        "middle_name": "AGUSTIN",
        "name_prefix": "Mr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00007093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalya A Vaughn, AGACNP-BC
• Aimee Ruth Vavrinec
• Brandy Irene Vazquez-Sandoval
• Danny Veenhouwer
• Alison Patricia Vega, AU.D.
• Shannon Rene Vega, LICSW
• Maya Xera Vekich
• Nicole Elya Vela, BA, CDP
• Isabella Margarita Velasquez
• Praveena O Velupula, DDS

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

• 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.