Organization Active NPI

William C. Vizzolini, D.D.S., Inc.

  • General Practice Dentistry
  • Vallejo, CA
National Provider Identifier
1316156276
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
27705 Issued in CA
Legal business name
WILLIAM C. VIZZOLINI, D.D.S., INC.
Practice address
1528 Tennessee St
Vallejo, CA 94590-4627
Phone
(707) 643-2660
Fax
(707) 643-0807
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William Cameron Vizzolini, D.D.S.NPI 1568520195
Title
President
Phone
(707) 643-2660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 27705 CA Primary

Addresses

Primary practice location

1528 Tennessee St
Vallejo, CA 94590-4627

Mailing address

1528 Tennessee St
Vallejo, CA 94590-4627
Phone (707) 643-2660

Other identifiers 1

IdentifierTypeStateIssuer
$$$$$$$$$OtherSOCIAL SECURITY NUMBER

National Provider Directory

National Provider Directory

Locations

1528 Tennessee St
Vallejo, CA 94590
Phone (707) 643-2660

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316156276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 TENNESSEE ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945904627",
            "telephone_number": "707-643-2660",
            "fax_number": "707-643-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 TENNESSEE ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945904627",
            "telephone_number": "707-643-2660",
            "fax_number": "707-643-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM C. VIZZOLINI, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VIZZOLINI",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CAMERON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-643-2660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "27705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY NUMBER",
            "identifier": "$$$$$$$$$",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.