Dirk Denier Vandergon, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MD2010-0192 Issued in NM

Practice address

1995 Errecart Blvd.,
Ste. 204
Elko, NV 89801-8333

Phone

(775) 748-0704

Fax

(775) 748-2041

NPI assigned

Apr 11, 2006

Last updated

Apr 14, 2017By the provider in NPPES

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: qjo7198@yourcarecommunity.org

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

• Regional Health Physicians Inc

  dba Hill City Regional Medical Clinic

  • Multi-Specialty Clinic/Center
  • Hill City, SD
  • NPI 1063458263
  NPD (past)
• Regional Health Physicians Inc

  • Clinic/Center
  • Rapid City, SD
  • NPI 1659322857
  NPD (past)

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492128000000",
    "number": "1659334316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275098",
            "telephone_number": "615-920-7910",
            "fax_number": "615-920-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 ERRECART BLVD.,",
            "address_2": "STE. 204",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898018333",
            "telephone_number": "775-748-0704",
            "fax_number": "775-748-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERGON",
        "first_name": "DIRK",
        "middle_name": "DENIER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2017-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NM",
            "license": "MD2010-0192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• University of Utah Specialty Services (Maternal Fetal Medicine- Elko)
• Julia Unruh
• Melissa Ure
• US Holdings LLC (LifeQuest Behavioral Health Care)
• Jessica Rachele Van Valkenburg, DNP, PMHNP
• Kesia Vargas
• Cherelyn M Vazquez
• Robinita Ambriz Velasquez, PA-C
• Brent D Venters, PSYD
• Brigit C Venters, PT, DPT

• Cardiovascular Disease Physician in Elko, NV
• Providers in Elko, NV by specialty
• Cardiovascular Disease Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.