Active NPI
Gloria Campos Vasquez, DDS
- Dentist
- Holyoke, MA
National Provider Identifier
1811398779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DL12399
- Practice address
- 230 Maple St
Holyoke, MA 01040-5144 - Phone
- (413) 420-2886
- Fax
- (413) 420-2250
- NPI assigned
- Sep 10, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DL12399 | MA | Primary |
Addresses
Primary practice location
230 Maple St
Holyoke, MA 01040-5144
Mailing address
8218 Wisconsin Ave
Suite 317
Bethesda, MD 20814-3107
Phone (240) 535-8126
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DL12399 | MA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Services DDS, PC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Fairfax, VA
- NPI 1649940040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410307200000",
"number": "1811398779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8218 WISCONSIN AVE",
"address_2": "SUITE 317",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208143107",
"telephone_number": "240-535-8126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 MAPLE ST",
"city": "HOLYOKE",
"state": "MA",
"postal_code": "010405144",
"telephone_number": "413-420-2886",
"fax_number": "413-420-2250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPOS VASQUEZ",
"first_name": "GLORIA",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-10",
"last_updated": "2014-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DL12399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holyoke, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.