Victor Immel, DMD, PS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6921 Issued in WA

Legal business name

VICTOR IMMEL, DMD, PS

Practice address

1506 Summitview Ave
Yakima, WA 98902-2943

Phone

(509) 457-5387

Fax

(509) 457-6580

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Victor D Immel, DMDNPI 1215021464

Title

Direct Owner

Phone

(509) 457-5387

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 1

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

• Victor D Immel, DMD

  • General Practice Dentistry
  • Yakima, WA
  • NPI 1215021464
  NPD (past) Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366536534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 SUMMITVIEW AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989022943",
            "telephone_number": "509-457-5387",
            "fax_number": "509-457-6580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 SUMMITVIEW AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989022943",
            "telephone_number": "509-457-5387",
            "fax_number": "509-457-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR IMMEL, DMD, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IMMEL",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECT OWNER",
        "authorized_official_telephone_number": "509-457-5387",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "6921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "128266",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "IM1280",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WDS",
            "identifier": "9643",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHS",
            "identifier": "5032222",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ulysses Vergara-Borges
• Brianna Verwey
• Joseph L Vickers, MD
• Lisa A Vickers, ARNP
• Mikayla Vickers, ASSOCIATE LICSW
• Vida Family Care
• Erick Fabriam Videira Paucar
• Roger E Vielbig, MD
• Geomara Viernes, RDH
• Maurita Villafan

• General Practice Dentistry in Yakima, WA
• Providers in Yakima, WA by specialty
• General Practice Dentistry in Washington

• 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.