Christopher Vanderbeek, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

64378 Issued in CO

Practice address

1600 W Yosemite Ave Ste 3
Manteca, CA 95337-5188

Phone

(209) 823-9371

Fax

(209) 823-8374

NPI assigned

Jun 22, 2011

Last updated

Sep 4, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Practice roles

Interoperability endpoints

• Direct secure messaging: cvanderbeek424315@hisp.ehr.sutterhealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ashok N Veeranki DDS Inc a Professional Dental Coorporation

  • Oral and Maxillofacial Surgery (Dentist)
  • Tracy, CA
  • NPI 1164942645
  NPD (past)

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1235425828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W YOSEMITE AVE STE 3",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953375188",
            "telephone_number": "209-823-9371",
            "fax_number": "209-823-8374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W YOSEMITE AVE STE 3",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953375188",
            "telephone_number": "209-823-9371",
            "fax_number": "209-823-8374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Foothill Dr",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841480001",
            "country_code": "US",
            "telephone_number": "801-584-1206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDERBEEK",
        "first_name": "CHRISTOPHER",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-22",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "64378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Reni Varghese, PHARMD

• Oral and Maxillofacial Surgery (Dentist) in Manteca, CA
• Providers in Manteca, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; 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.