Vincent L Modert

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

143 Coppersmith Dr
Lexington, SC 29073-9847

Phone

(616) 886-5276

NPI assigned

Sep 22, 2025

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1710859558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 COPPERSMITH DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290739847",
            "telephone_number": "616-886-5276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 COPPERSMITH DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290739847",
            "telephone_number": "616-886-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODERT",
        "first_name": "VINCENT",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Theo Mitchell, FNP-BC
• Sidra Mitchell
• Christina Mitro, OT
• Marissa Mitter
• Seth Mittleman, CPSS
• Tito Molina, DDS
• Trina P Monis, DPM
• Lauren Tober Monk, MD
• Lauren Elizabeth Montgomery, PT
• Frances M Moody, DC

• Student in an Organized Health Care Education/Training Program in Lexington, SC
• Providers in Lexington, SC by specialty
• Student in an Organized Health Care Education/Training Program in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.