Andrea Henley Vasquez, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401418946 Issued in VA

Practice address

8380 Boydton Plank Rd
Alberta, VA 23821-2851

Phone

(434) 949-7211

NPI assigned

Jul 3, 2024

Last updated

Jul 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1801632468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8380 BOYDTON PLANK RD",
            "city": "ALBERTA",
            "state": "VA",
            "postal_code": "238212851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8380 BOYDTON PLANK RD",
            "city": "ALBERTA",
            "state": "VA",
            "postal_code": "238212851",
            "telephone_number": "434-949-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENLEY VASQUEZ",
        "first_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-07-03",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401418946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alberta Volunteer Fire Department
• Gwendolyn Alexander
• Paula Anderson, FNP-BC
• Central Virginia Health Services Inc (CVHS Brunswick)
• Good Vibes Medical Transportation LLC (none)
• Duong Thuy Hoang, D.D.S.
• Kave Outreach (Robin Baker)
• Kathryn Kilpatrick, MD
• Tynekia Lewis
• Sabrina S Mayton, OT/L

• General Practice Dentistry in Alberta, VA
• Providers in Alberta, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.