Sandra Vukovic, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

011226 Issued in CT

Practice address

51 S Whittlesey Ave
Wallingford, CT 06492-4101

Phone

(203) 265-3139

Fax

(203) 265-5133

NPI assigned

Jul 25, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wolfy Dental Group LLC

  • General Practice Dentistry
  • Wallingford, CT
  • NPI 1467997106

  Multi-Specialty

  NPD (past) Authorized official
• Munzenmaier & Friel D.M.D LLC

  • Pediatric Dentistry
  • Wallingford, CT
  • NPI 1598782948
  NPD (past)

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1346658051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 S WHITTLESEY AVE",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064924101",
            "telephone_number": "203-265-3139",
            "fax_number": "203-265-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 S WHITTLESEY AVE",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064924101",
            "telephone_number": "203-265-3139",
            "fax_number": "203-265-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUKOVIC",
        "first_name": "SANDRA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-25",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CT",
            "license": "011226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346658051",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Visiting Nurse Association of Wallingford Inc
• Visiting Nurse Association of Wallingford Inc
• Visiting Nurse Association of Wallingford, Inc.
• Visiting Nurses Association of Wallingford, Inc.
• Nancy M Votto, APRN
• Amy F Vumback, PT
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP.
• Walgreen Co
• Allison Wall

• Dentist in Wallingford, CT
• Providers in Wallingford, CT by specialty
• Dentist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.