Active NPI
Vasilios Vagenas, DMD
- General Practice Dentistry
- Brockton, MA
National Provider Identifier
1699810812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 18888
- Practice address
- 5 Torrey Street
Brockton, MA 02301 - Phone
- (508) 586-4276
- Fax
- (508) 513-1403
- NPI assigned
- Feb 21, 2007
- Last updated
- Mar 26, 2026
- Sex
- Male
- Sole proprietor
- No
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 | 18888 | MA | Primary |
Addresses
Primary practice location
5 Torrey Street
Brockton, MA 02301
Mailing address
5 Torrey St
Brockton, MA 02301-4832
Phone (508) 586-4276
Other practice location 1
933 Pleasant St
Fall River, MA 02723-1000
Phone (508) 673-3044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| X11937 | Other | MA | BLUE CROSS B SHIELD MA |
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)
- Enrolled
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774483200000",
"number": "1699810812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 TORREY ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023014832",
"telephone_number": "508-586-4276",
"fax_number": "508-513-1403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 TORREY STREET",
"city": "BROCKTON",
"state": "MA",
"postal_code": "02301",
"telephone_number": "508-586-4276",
"fax_number": "508-513-1403"
}
],
"practiceLocations": [
{
"address_1": "933 Pleasant St",
"address_purpose": "LOCATION",
"city": "Fall River",
"state": "MA",
"postal_code": "027231000",
"country_code": "US",
"telephone_number": "508-673-3044",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAGENAS",
"first_name": "VASILIOS",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2026-03-26",
"certification_date": "2026-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "18888",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS B SHIELD MA",
"identifier": "X11937",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.