Active NPI
Aroone Vang
- General Practice Dentistry
- Saint Paul, MN
National Provider Identifier
1194082040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D13059
- Practice address
- 828 Hawthorne Ave E
Saint Paul, MN 55106-3252 - Phone
- (651) 774-2959
- NPI assigned
- Apr 17, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D13059 | MN | Primary |
Addresses
Primary practice location
828 Hawthorne Ave E
Saint Paul, MN 55106-3252
Mailing address
650 Kingfisher LN Apt I
Woodbury, MN 55125-4889
Phone (612) 308-8051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160108000684 | MN | Order and Referring Only - Dentist | 0547562472 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D13059 | MN | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338681600000",
"number": "1194082040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 KINGFISHER LN APT I",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551254889",
"telephone_number": "612-308-8051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "828 HAWTHORNE AVE E",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551063252",
"telephone_number": "651-774-2959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANG",
"first_name": "AROONE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-17",
"last_updated": "2012-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MN",
"license": "D13059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2012; 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.