Aaron Montgomery Vickers, DDS, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

29795 Issued in TX

Practice address

651 Cross Timbers Road
Suite 103
Flower Mound, TX 75028

Phone

(972) 436-1513

Fax

(972) 436-0618

NPI assigned

Jun 2, 2008

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 27, 2024 through Jun 27, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Aaron M Vickers DDS MD PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Denton, TX
  • NPI 1366358053
  NPD (past) Authorized official
• Tcosdi TMJ PLLC

  • General Practice Dentistry
  • Denton, TX
  • NPI 1699588350
  NPD (past) Authorized official
• Tcosdi Frisco

  • Oral and Maxillofacial Surgery (Dentist)
  • Frisco, TX
  • NPI 1295474443
  NPD

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434067200000",
    "number": "1164680591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 CROSS TIMBERS ROAD",
            "address_2": "SUITE 103",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "75028",
            "telephone_number": "972-436-1513",
            "fax_number": "972-436-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 CROSS TIMBERS ROAD",
            "address_2": "SUITE 103",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "75028",
            "telephone_number": "972-436-1513",
            "fax_number": "972-436-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICKERS",
        "first_name": "AARON",
        "middle_name": "MONTGOMERY",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-02",
        "last_updated": "2015-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "29795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Verbeck
• Vericon Services PLLC
• Kathleen Vernon
• VH Anesthesia PLLC
• Vibe Counseling and Wellness
• Dusty Lynne Vigil, MS, LPC, LCDC
• Village Counseling LLC
• Raul Villalon Jr., MD
• Kelly Duff Visentine, O.D.
• Vision Plaza

• Oral and Maxillofacial Surgery (Dentist) in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.