Terry H Vibbert, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

12009155 Issued in IN

Practice address

903 N Park Dr
Evansville, IN 47710-3629

Phone

(812) 424-3368

Fax

(801) 881-7780

NPI assigned

Mar 22, 2007

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

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• The Village Dentist, P.C.

  • Dentist
  • Evansville, IN
  • NPI 1053360479
  NPD (past) Authorized official

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801912639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9054",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477247054",
            "telephone_number": "812-424-3368",
            "fax_number": "801-881-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 N PARK DR",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477103629",
            "telephone_number": "812-424-3368",
            "fax_number": "801-881-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIBBERT",
        "first_name": "TERRY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12009155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100180790",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine M Verbeck, O. D.
• Daren W. Vertein, FNP
• Viaquest Home Health of Indiana, LLC
• Viaquest Home Health of Indiana, LLC
• Jared M Vibbert, MD
• Santi Vibul, M.D.
• Margaret H Vickers, MD
• Shannon E Vickers, NP
• William M Vickers, MD
• Soumya Vijayraj

• Dentist in Evansville, IN
• Providers in Evansville, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.