Dale Collins Vidal, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

9412 Issued in NH

Practice address

127 Mascoma St
Lebanon, NH 03766-2661

Phone

(603) 443-9572

Fax

(603) 443-9521

NPI assigned

Jul 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: dvidal1612@direct.dartmouth-hitchcock.org

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1639198138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ALICE PECK DAY DR",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037662900",
            "telephone_number": "603-448-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 MASCOMA ST",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037662661",
            "telephone_number": "603-443-9572",
            "fax_number": "603-443-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDAL",
        "first_name": "DALE",
        "middle_name": "COLLINS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NH",
            "license": "9412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30008405",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0RE3751",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Giridhar Venkatraman, M.D.
• Maxwell T Vergo, M.D.
• Ritika Verma, MD
• Matthew Lepore Vestal
• Alexei Viazmenski, M.D.
• Vidal Adrian Villela, MD
• Eric Smith Vilsmark
• Kailey Vinacco, PA
• Julie Anne Vincent, MD
• Poornima Vinod, MD

• Plastic Surgery Physician in Lebanon, NH
• Providers in Lebanon, NH by specialty
• Plastic Surgery Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; 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.