Chris Michael Vitakes, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

032775 Issued in CA

Practice address

909 San Ramon Valley Blvd Ste 218
Danville, CA 94526-4038

Phone

(510) 825-9105

Fax

(925) 553-7855

NPI assigned

Apr 26, 2007

Last updated

Jul 2, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1528288115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 SAN RAMON VALLEY BLVD STE 218",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264038",
            "telephone_number": "925-553-7761",
            "fax_number": "925-553-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 SAN RAMON VALLEY BLVD STE 218",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264038",
            "telephone_number": "510-825-9105",
            "fax_number": "925-553-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITAKES",
        "first_name": "CHRIS",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "032775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@chrisvitakesdds.com",
            "affiliation": "N",
            "endpointDescription": "secure e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "info@chrisvitakes.com",
            "address_1": "1353 C St",
            "city": "Hayward",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945412921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@chrisvitakesdds.com",
            "affiliation": "N",
            "endpointDescription": "secure e-mail",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "info@chrisvitakesdds.com",
            "address_1": "909 San Ramon Valley Blvd Ste 218",
            "city": "Danville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945264038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Dentist in Danville, CA
• Providers in Danville, CA by specialty
• Dentist in California

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