Active NPI
Vincent Ignatius Floeder, DDS
- Dentist
- Norfolk, VA
National Provider Identifier
1306363023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D13838
- Practice address
- 1949 Admiral Taussig Blvd S
Norfolk, VA 23511-3425 - Phone
- (757) 953-8635
- NPI assigned
- Aug 23, 2017
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | D13838 | FM | Primary |
Addresses
Primary practice location
1949 Admiral Taussig Blvd S
Norfolk, VA 23511-3425
Mailing address
401 S 1St St Unit 1621
Minneapolis, MN 55401-2571
Phone (651) 600-5493
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 |
|---|---|---|---|
| D13838 | FM | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503446400000",
"number": "1306363023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 S 1ST ST UNIT 1621",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554012571",
"telephone_number": "651-600-5493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1949 ADMIRAL TAUSSIG BLVD S",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235113425",
"telephone_number": "757-953-8635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLOEDER",
"first_name": "VINCENT",
"middle_name": "IGNATIUS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-23",
"last_updated": "2017-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FM",
"license": "D13838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.