Active NPI
Derek Kalvin Vo, DDS
- General Practice Dentistry
- Austin, TX
National Provider Identifier
1699293266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 32918
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 32918 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gregory Kon, PC | General Practice | Past | 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.
-
- General Practice Dentistry
- Austin, TX
- NPI 1790171221
-
dba Bastrop Denture & Implant Center
- General Practice Dentistry
- Bastrop, TX
- NPI 1144117862
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.