Vixiane Sengsouvanh, DDS, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

48994 Issued in CA

Legal business name

VIXIANE SENGSOUVANH, DDS, INC.

Doing business as

Murieta Dental

Practice address

7277 Lone Pine Dr
Rancho Murieta, CA 95683-9715

Phone

(916) 354-2637

Fax

(916) 354-3270

NPI assigned

Jun 4, 2007

Last updated

Dec 12, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vixiane Sengsouvanh, DDSNPI 1568664498

Title

Ceo

Phone

(916) 354-2637

Specialties & licenses 1

Addresses

Other names 1

• Murieta Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vixiane Sengsouvanh, DDS

  • Dentist
  • Rancho Murieta, CA
  • NPI 1568664498
  Authorized official Same address or phone

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355270400000",
    "number": "1164624003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1451",
            "city": "RANCHO MURIETA",
            "state": "CA",
            "postal_code": "956831451",
            "telephone_number": "916-354-2637",
            "fax_number": "916-354-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7277 LONE PINE DR",
            "city": "RANCHO MURIETA",
            "state": "CA",
            "postal_code": "956839715",
            "telephone_number": "916-354-2637",
            "fax_number": "916-354-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIXIANE SENGSOUVANH, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2012-12-12",
        "status": "A",
        "authorized_official_last_name": "SENGSOUVANH",
        "authorized_official_first_name": "VIXIANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-354-2637",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "48994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Murieta Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Murieta Physical Therapy, Inc.
• Samantha Anna-Marie Redden
• Pamela Colleen Riggs, DC
• Vixiane Sengsouvanh, DDS
• John Thomas Skhal, PHARM.D.
• Jana Christine Wolf

• Dentist in Rancho Murieta, CA
• Providers in Rancho Murieta, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; 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.