Betty S Vodzak, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28404 Issued in CA

Practice address

895 Moraga Rd
Lafayette, CA 94549-5094

Phone

(925) 283-5454

Fax

(925) 283-6881

NPI assigned

Dec 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235293754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4128 HAPPY VALLEY RD",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945492411",
            "telephone_number": "925-284-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 MORAGA RD",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945495094",
            "telephone_number": "925-283-5454",
            "fax_number": "925-283-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VODZAK",
        "first_name": "BETTY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "28404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pierre Francois Vilanoba
• Eugenia Villalpando
• Ahtziri Diocelina Villasenor
• Jeaneille Vinas
• Claire Rose Vincenzi
• Jenelle Wade, M.S., BCBA
• Ronald Yukio Wake, D.D.S.
• Walgreen Co (Walgreens #15946)
• Rebecca Ann Walker, CN
• Maureen Wallace, LCSW

• General Practice Dentistry in Lafayette, CA
• Providers in Lafayette, 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 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.

Verify at the official NPI Registry.