Vandeberg Orthodontics, P.a.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

23213 Issued in TX

Legal business name

VANDEBERG ORTHODONTICS, P.A.

Practice address

9822 Potranco Rd Ste 105
San Antonio, TX 78251-9608

Phone

(210) 543-8000

Fax

(210) 543-8002

NPI assigned

Dec 2, 2007

Last updated

Dec 2, 2007By 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. James Vandeberg, D.D.S. M.S.NPI 1750562021

Title

Owner

Phone

(210) 543-8000

Specialties & licenses 1

Addresses

Practitioners 2

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.

• James Robert Vandeberg, D.D.S, M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Antonio, TX
  • NPI 1750562021
  NPD (past) Authorized official
• Thomas Dunn, D.D.S

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Albuquerque, NM
  • NPI 1215339270
  NPD (past)

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

{
    "created_epoch": "1196553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196553600000",
    "number": "1285816231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9822 POTRANCO RD STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782519608",
            "telephone_number": "210-543-8000",
            "fax_number": "210-543-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9822 POTRANCO RD STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782519608",
            "telephone_number": "210-543-8000",
            "fax_number": "210-543-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANDEBERG ORTHODONTICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-02",
        "last_updated": "2007-12-02",
        "status": "A",
        "authorized_official_last_name": "VANDEBERG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-543-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S. M.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "23213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rochelle Vance
• Shaylene Vance, PMHNP
• Stephen Jan Vancleave, M.D.
• Jamey Vancura, FNP
• Jillian Amanda Vandamme, APRN, FNP-C
• James Robert Vandeberg, D.D.S, M.S.
• Erika Vandenberg
• Casey Vander Pol, IOM
• Susan Vandergriff, COTA
• Ian Vandergulik, DPM

• Dental Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.