Jason T Vettraino, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

19218 Issued in MI

Practice address

43380 Woodward Ave Ste 107
Bloomfield Hills, MI 48302-5050

Phone

(248) 338-3550

NPI assigned

Jan 19, 2007

Last updated

Jun 6, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bloomfield Dental Care, P.C.

  • General Practice Dentistry
  • Bloomfield Hills, MI
  • NPI 1821143520
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1760535298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43380 WOODWARD AVE",
            "address_2": "STE 107",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025050",
            "telephone_number": "248-338-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43380 WOODWARD AVE STE 107",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025050",
            "telephone_number": "248-338-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VETTRAINO",
        "first_name": "JASON",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "19218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124832641",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vaughan Center for Personal Growth and Development
• Pamela Marie Vaughan, LLP
• Kristine Marie Vazzano, PHD
• Veena Govila MD PC
• Hedyeh Veiseh
• Jessica Vettraino, NP
• Jean L Viaud-Murat, RN, CLC
• Khachorndej Vibhasiri, M.D
• Sasinee Vibhasiri, MD
• Sarah Elizabeth Vigiletti

• Dentist in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.