Lao Vang

Primary specialty

DentistTaxonomy code 122300000X

License

D13678 Issued in MN

Practice address

10616 Kyle Ave N
Brooklyn Park, MN 55443-1250

Phone

(763) 221-0361

NPI assigned

Jun 2, 2016

Sex

Male

Sole proprietor

Yes

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 MN

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

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.

• Comfortable Dental PLLC

  • General Practice Dentistry
  • Crystal, MN
  • NPI 1003392739
  NPD

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1194173971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 BOTTINEAU BLVD STE 270",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554292671",
            "telephone_number": "763-210-8222",
            "fax_number": "763-280-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10616 KYLE AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431250",
            "telephone_number": "763-221-0361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANG",
        "first_name": "LAO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-02",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Oswaldo Valdepena Garcia
• Hailey Nicol Valencour, OTD, OTR/L
• Valhalla Place, LLC
• Lisa Kay Vanberkel, PT
• Dennis J Vanden Berge, MD
• Michelle Vang, B.A
• Nkaujci Vang, DCM, LAC.
• Panhia Vang, APRN
• Kira Varner, LPN
• Jose Anthony Vasquez

• Dentist in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.