Active NPI
Roberto Ernesto Novo, DVM, MS, DACVS
- Veterinarian
- Vancouver, WA
National Provider Identifier
1811272131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Veterinarian
- License
- VT60149594
- Practice address
- 6818 NE Fourth Plain Blvd Ste C
Vancouver, WA 98661-7357 - Phone
- (360) 694-3007
- Fax
- (360) 735-7420
- NPI assigned
- Oct 18, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Veterinarian | 174M00000X | VT60149594 | WA | Primary |
Addresses
Primary practice location
6818 NE Fourth Plain Blvd Ste C
Vancouver, WA 98661-7357
Mailing address
6818 NE Fourth Plain Blvd Ste C
Vancouver, WA 98661-7357
Phone (360) 694-3007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VT60149594 | WA | MD | Veterinarian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318896000000",
"number": "1811272131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6818 NE FOURTH PLAIN BLVD STE C",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986617357",
"telephone_number": "360-694-3007",
"fax_number": "360-735-7420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6818 NE FOURTH PLAIN BLVD STE C",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986617357",
"telephone_number": "360-694-3007",
"fax_number": "360-735-7420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVO",
"first_name": "ROBERTO",
"middle_name": "ERNESTO",
"name_prefix": "Dr.",
"credential": "DVM, MS, DACVS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-18",
"last_updated": "2011-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "WA",
"license": "VT60149594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.