Vdccr,P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

VDCCR,P.A.

Doing business as

Value Dental Care

Practice address

6824 W Gulf to Lake Hwy
Crystal River, FL 34429-7806

Phone

(352) 794-6139

Fax

(352) 263-2756

NPI assigned

Sep 9, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Janeen M Gorman

Title

Manger

Phone

(352) 684-1274

Specialties & licenses 1

Addresses

Other names 1

• Value Dental Care Doing business as

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567987200000",
    "number": "1396394664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7425 SPRING HILL DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346064348",
            "telephone_number": "352-684-1274",
            "fax_number": "352-263-2756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6824 W GULF TO LAKE HWY",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344297806",
            "telephone_number": "352-794-6139",
            "fax_number": "352-263-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VDCCR,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-09",
        "last_updated": "2019-09-09",
        "status": "A",
        "authorized_official_last_name": "GORMAN",
        "authorized_official_first_name": "JANEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "352-684-1274",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Value Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James R Tzivanis, RPA
• Ultimate Nursing Care LLC.
• Brandie Underwood
• Susan Arlene Vanwalker, ITDS
• VDC-Crystal River PA
• Enrique Velazquez, M.D.
• Robertus Veldwijk, PHYSICAL THERAPIST
• Patricia Mary Veltman, LDO
• Victoria L Torralba MD
• Beverly Vienot, FNP

• General Practice Dentistry in Crystal River, FL
• Providers in Crystal River, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.