Active NPI
Roderic Brian Panzer, DDS
- General Practice Dentistry
- Vacaville, CA
National Provider Identifier
1235238817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D22417
- Practice address
- 1980 Alamo Dr
Suite 2
Vacaville, CA 95687-6100 - Phone
- (707) 449-3777
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | D22417 | CA | Primary |
Addresses
Primary practice location
1980 Alamo Dr
Suite 2
Vacaville, CA 95687-6100
Mailing address
1980 Alamo Dr
Suite 2
Vacaville, CA 95687-6100
Phone (707) 449-3777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D22417 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roderic B. Panzer | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235238817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1980 ALAMO DR",
"address_2": "SUITE 2",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956876100",
"telephone_number": "707-449-3777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1980 ALAMO DR",
"address_2": "SUITE 2",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956876100",
"telephone_number": "707-449-3777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANZER",
"first_name": "RODERIC",
"middle_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "D22417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vacaville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.