Viv Legacy PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

VIV LEGACY PLLC

Practice address

199 Blossom St
Webster, TX 77598-4414

Phone

(848) 466-6909

NPI assigned

Nov 29, 2023

Last updated

Nov 29, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vishal Dhatrak, DDS

Title

Dentist

Phone

(848) 466-6909

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1588430706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 BLOSSOM ST",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984414",
            "telephone_number": "848-466-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 BLOSSOM ST",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984414",
            "telephone_number": "848-466-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIV LEGACY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "DHATRAK",
        "authorized_official_first_name": "VISHAL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "848-466-6909",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent Ruscelli PHD,PC
• Scott Allen Vines
• Ariel Alexus Vinson, MD, MS
• Janardhana Reddy Vinta, M.D.
• Vip Vision LLC
• Vmetals Inc
• Regina Volentine
• Chau Minh Vu, M.D.
• Philip M Vu, M.D.
• Thao Vu, M.D.

• Dentist in Webster, TX
• Providers in Webster, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.