Terry L. Vincent, DDS, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

22558 Issued in CA

Legal business name

TERRY L. VINCENT, DDS, INC.

Practice address

136 Hidden Valley Rd
Royal Oaks, CA 95076-9271

Phone

(831) 596-6395

NPI assigned

Aug 31, 2010

Last updated

Aug 31, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Terry Lee Vincent, D.D.S.NPI 1942477799

Title

President

Phone

(831) 596-6395

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Terry Lee Vincent, D.D.S.

  • Dentist
  • Watsonville, CA
  • NPI 1942477799
  NPD (past) Authorized official

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283212800000",
    "number": "1275840035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 HIDDEN VALLEY RD",
            "city": "ROYAL OAKS",
            "state": "CA",
            "postal_code": "950769271",
            "telephone_number": "831-596-6395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 HIDDEN VALLEY RD",
            "city": "ROYAL OAKS",
            "state": "CA",
            "postal_code": "950769271",
            "telephone_number": "831-596-6395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY L. VINCENT, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-31",
        "last_updated": "2010-08-31",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-596-6395",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "22558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE NUMBER",
            "identifier": "22558",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ernesto Rocha
• Janet Rocha
• Ana Maria Rodriguez
• Maira Metzli Ruiz
• Tiffany Ann Schofield
• Emily Ann Valdivia, CLC CHW
• Lisa Karen Zee, MS,CCC-SLP
• Crystal Zepeda

• Skilled Nursing Facility in Royal Oaks, CA
• Providers in Royal Oaks, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; 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.