Edward L. Vines DDS Inc a Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

26556 Issued in CA

Legal business name

EDWARD L. VINES DDS INC A DENTAL CORPORATION

Practice address

7880 Wren Ave
Suite B-121
Gilroy, CA 95020-4943

Phone

(408) 842-3436

NPI assigned

Apr 14, 2008

Last updated

Apr 14, 2008By 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

Dr. Edward L. Vines, DDSNPI 1881684884

Title

President

Phone

(408) 842-3436

Specialties & licenses 1

Addresses

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.

• Edward Leroy Vines, D.D.S.

  • General Practice Dentistry
  • Gilroy, CA
  • NPI 1881684884
  NPD (past) Authorized official

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1164696803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7880 WREN AVE",
            "address_2": "SUITE B-121",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950204943",
            "telephone_number": "408-842-3436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7880 WREN AVE",
            "address_2": "SUITE B-121",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950204943",
            "telephone_number": "408-842-3436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD L. VINES DDS INC A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "VINES",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-842-3436",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "26556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alec Robert Easthouse
• Ruth Michelle Eastman, MS CLINICAL PSYCHOLO
• Dana Janetter Velasco Edgar, PT
• Pamela A. Edillon, MD
• Raven Miranda Edmonds
• Savannah Lynn Edwards
• Efrain a Montana DDS Adriana a Villarreal DDS a Professional Corp.
• Pat Egan
• Berika Egberuare
• Christiana Kelechi Eje

• General Practice Dentistry in Gilroy, CA
• Providers in Gilroy, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.