Individual provider Active NPI

Vineetha Vijayakumar

  • Dentist
  • Chapel Hill, NC
National Provider Identifier
1699405886
Registry record updated Jun 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9534 Issued in ZZ
Practice address
385 S Columbia St
Chapel Hill, NC 27599-0001
Phone
(919) 537-3737
NPI assigned
Jun 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9534 ZZ
Oral and Maxillofacial Radiology Dentistry 1223X0008X 9534 ZZ
Dentist 122300000X 9534 ZZ Primary

Addresses

Primary practice location

385 S Columbia St
Chapel Hill, NC 27599-0001

Mailing address

13010 Cabin Creek Rd
Herndon, VA 20171
Phone (571) 373-9906

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL securerecordsofp.uncch.html UNC Chapel Hill Campus Health Services

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
9534ZZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Vivine Dental Studio Current Accepting new patients
Adams School of Dentistry CurrentSince Jul 7, 2024 Accepting new patients
Unc School of Dentistry Dentist PastSince Jun 21, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: vvijayakumar917501@direct.unc.nchie.net

Organizations & group practices 3

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": "1654992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654992000000",
    "number": "1699405886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13010 CABIN CREEK RD",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "20171",
            "telephone_number": "571-373-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 S COLUMBIA ST",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275990001",
            "telephone_number": "919-537-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIJAYAKUMAR",
        "first_name": "VINEETHA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-12",
        "last_updated": "2022-06-12",
        "certification_date": "2022-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ZZ",
            "license": "9534",
            "primary": false
        },
        {
            "code": "1223X0008X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Radiology",
            "state": "ZZ",
            "license": "9534",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ZZ",
            "license": "9534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "securerecordsofp.uncch.html",
            "affiliation": "Y",
            "affiliationName": "UNC Chapel Hill Campus Health Services",
            "address_1": "385 S Columbia St",
            "city": "Chapel Hill",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275990001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2022; 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.