Individual provider Active NPI

Derek Kalvin Vo, DDS

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1699293266
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
32918 Issued in TX
Practice address
7612 W Highway 71 Ste B
Austin, TX 78735
Phone
(512) 301-1505
NPI assigned
Sep 5, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 32918 TX Primary

Addresses

Primary practice location

7612 W Highway 71 Ste B
Austin, TX 78735

Mailing address

10809 Owyhee VW
Austin, TX 78754-6097
Phone (972) 679-9660

Other practice location 1

1113 Main St
Bastrop, TX 78602-3218
Phone (512) 332-2353

Other practice location 2

301 Highway 71 W Ste 102
Bastrop, TX 78602-4111
Phone (512) 303-6900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
32918TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory Kon, PC General Practice PastSince Jun 29, 2025 Accepting new patients
GK Dental P.a. General Practice Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1699293266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10809 OWYHEE VW",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787546097",
            "telephone_number": "972-679-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7612 W HIGHWAY 71 STE B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78735",
            "telephone_number": "512-301-1505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1113 Main St",
            "address_purpose": "LOCATION",
            "city": "Bastrop",
            "state": "TX",
            "postal_code": "786023218",
            "country_code": "US",
            "telephone_number": "512-332-2353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Highway 71 W Ste 102",
            "address_purpose": "LOCATION",
            "city": "Bastrop",
            "state": "TX",
            "postal_code": "786024111",
            "country_code": "US",
            "telephone_number": "512-303-6900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VO",
        "first_name": "DEREK",
        "middle_name": "KALVIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-05",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "32918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; 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.