Corey Vang

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

$$$$$$$$$ Issued in MN

Practice address

5700 Bottineau Blvd Ste 270
Crystal, MN 55429-2671

Phone

(763) 200-8952

NPI assigned

May 3, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Comfortable Dental PLLC

  • General Practice Dentistry
  • Crystal, MN
  • NPI 1003392739
  NPD

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1619724903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12871 FLAMINGO ST NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554481538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 BOTTINEAU BLVD STE 270",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554292671",
            "telephone_number": "763-200-8952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANG",
        "first_name": "COREY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "$$$$$$$$$",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Ann Tshosa
• Seth Elliot Tupper, LICSW
• Twin Smiles
• United Care Group, Inc
• Beth Van Kampen, MA, LPCC
• Gene Wayne Velasco, MD
• Patricia J Vincent, M.D.
• Heather Marie Vinje, D.C.
• Vision World Inc
• Visionworks, Inc.

• General Practice Dentistry in Crystal, MN
• Providers in Crystal, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.