Individual provider Active NPI

Thomas C Vagts

  • Registered Dietitian
  • Thomasville, NC
National Provider Identifier
1336558352
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1098824 Issued in NC
Practice address
610 Penn St
Thomasville, NC 27360-2849
Phone
(336) 410-4002
NPI assigned
Aug 4, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1098824
Registered Dietitian 133V00000X 1098824 NC Primary

Addresses

Primary practice location

610 Penn St
Thomasville, NC 27360-2849

Mailing address

610 Penn St
Thomasville, NC 27360-2849
Phone (336) 410-4002

Other practice location 1

6329 Unity St Ste A
Thomasville, NC 27360-7186
Phone (336) 793-2518

Other practice location 2

101 N Cherry St
Winston Salem, NC 27101-4013
Phone (336) 410-4002

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1098824NCMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1336558352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 PENN ST",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273602849",
            "telephone_number": "336-410-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 PENN ST",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273602849",
            "telephone_number": "336-410-4002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6329 Unity St Ste A",
            "address_purpose": "LOCATION",
            "city": "Thomasville",
            "state": "NC",
            "postal_code": "273607186",
            "country_code": "US",
            "telephone_number": "336-793-2518",
            "fax_number": "336-793-9589",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 N Cherry St",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271014013",
            "country_code": "US",
            "telephone_number": "336-410-4002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAGTS",
        "first_name": "THOMAS",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-04",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "1098824",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "1098824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.