Stephanie Nicole Vlahos, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

0401414034 Issued in VA

Practice address

1930 Braeburn Dr Ste a
Salem, VA 24153-7391

Phone

(540) 774-1955

NPI assigned

Jun 19, 2013

Last updated

Sep 4, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in VA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441324800000",
    "number": "1669811071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 BRAEBURN DR STE A",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537391",
            "telephone_number": "540-774-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 BRAEBURN DR STE A",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537391",
            "telephone_number": "540-774-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VLAHOS",
        "first_name": "STEPHANIE",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2015-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401414034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Orthopaedic, PC (Virginia Orthopaedic Direct)
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• VJ 96 LLC (Salem Psychiatry)
• Donald Burgess Vogelsong, BS, RBT
• Neeta Vorst, FNP
• Sarah Christine Voss Horrell, PH.D.
• Kathryn Joyce Vuich, R.PH.
• Daphne Wagner

• Dentist in Salem, VA
• Providers in Salem, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; 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.