Individual provider Active NPI

Yaritza Vazquez, D.M.D

  • Periodontics
  • Richardson, TX
National Provider Identifier
1770744385
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
26168 Issued in TX
Practice address
700 East Campbell Rd
Suite 230
Richardson, TX 75081
Phone
(972) 479-1200
NPI assigned
Jun 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 26168 TX Primary

Addresses

Primary practice location

700 East Campbell Rd
Suite 230
Richardson, TX 75081

Mailing address

100 E Newton St
Second Floor, Periodontology Department
Boston, MA 02118-2308

Other practice location 1

100 E Newton St
second floor, Periodontology Department
Boston, MA 02118-2308
Phone (617) 638-4750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161021001328 TX Order and Referring Only - DentistPractitioner - Dentist 4385922566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26168TXMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Vazquez and Steinberg & Associates PLLC Periodontics Current Accepting new patients
Endodontic and Periodontic Specialists Periodontics 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.

NPI Registry JSON

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1770744385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E NEWTON ST",
            "address_2": "SECOND FLOOR, PERIODONTOLOGY DEPARTMENT",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 EAST CAMPBELL RD",
            "address_2": "SUITE 230",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "75081",
            "telephone_number": "972-479-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E Newton St",
            "address_2": "second floor, Periodontology Department",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021182308",
            "country_code": "US",
            "telephone_number": "617-638-4750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "YARITZA",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "26168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.