Individual provider Active NPI

Virgil Vacarean, DMD

  • Prosthodontics
  • Flower Mound, TX
National Provider Identifier
1487812327
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
243446 Issued in TX
Practice address
4471 Long Prairie Rd Ste 300
Flower Mound, TX 75028-1755
Phone
(972) 355-6042
Fax
(972) 355-6083
NPI assigned
May 28, 2008
Last updated
Mar 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 243446 TX Primary

Addresses

Primary practice location

4471 Long Prairie Rd Ste 300
Flower Mound, TX 75028-1755

Mailing address

4471 Long Prairie Rd Ste 300
Flower Mound, TX 75028-1755
Phone (972) 355-6042

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ovaldental@mail.com Direct
Direct Messaging Address virgilvacarean@me.com Direct

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
243446TXMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1487812327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4471 LONG PRAIRIE RD STE 300",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281755",
            "telephone_number": "972-355-6042",
            "fax_number": "972-355-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4471 LONG PRAIRIE RD STE 300",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281755",
            "telephone_number": "972-355-6042",
            "fax_number": "972-355-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACAREAN",
        "first_name": "VIRGIL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-28",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "243446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ovaldental@mail.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4471 Long Prairie Rd Ste 300",
            "city": "Flower Mound",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750281755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "virgilvacarean@me.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4471 Long Prairie Rd Ste 300",
            "city": "Flower Mound",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750281755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.