Individual provider Active NPI

Vera Dooley, DDS

  • General Practice Dentistry
  • Placerville, CA
National Provider Identifier
1316264922
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS102253 Issued in CA
Practice address
708 Main St
Placerville, CA 95667-5718
Phone
(530) 622-3256
Fax
(530) 295-1419
NPI assigned
Apr 23, 2010
Last updated
Oct 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DDS102253 CA Primary

Addresses

Primary practice location

708 Main St
Placerville, CA 95667-5718

Mailing address

708 Main St
Placerville, CA 95667-5718
Phone (530) 622-3256

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

LicenseStateTypeSpecialty
DDS102253CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Vera Dooley, D.D.S., Inc. General Practice CurrentSince Oct 20, 2019 Accepting new patients

Locations

708 Main St
Placerville, CA 95667
Phone (530) 622-3256

340 S Lemon Ave
#7733
Walnut, CA 91789

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1316264922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 MAIN ST",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675718",
            "telephone_number": "530-622-3256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 MAIN ST",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675718",
            "telephone_number": "530-622-3256",
            "fax_number": "530-295-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOLEY",
        "first_name": "VERA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-23",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS102253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placerville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.