John Wesley Vargo, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

12 Issued in WV

Practice address

4 Okatie Center Blvd S Ste 103
Okatie, SC 29909-7530

Phone

(843) 705-9551

NPI assigned

May 3, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Davis and Wine Dental Associates, LLC

  • General Practice Dentistry
  • Okatie, SC
  • NPI 1417127028

  Periodontics

  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1841402971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 GREENWOOD DR",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299284223",
            "telephone_number": "843-363-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 OKATIE CENTER BLVD S STE 103",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "299097530",
            "telephone_number": "843-705-9551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Morris St",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "25301",
            "country_code": "US",
            "telephone_number": "304-342-4481",
            "fax_number": "304-342-4483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARGO",
        "first_name": "JOHN",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WV",
            "license": "12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bobbi J Tenwolde, MD
• Annette Nimmer Thomas, MD
• Ashley Tinney
• Jessica Nicole Trani, PTA
• Casey Marie Vagts, RD
• VDP Okatie LLC
• Walgreen Co
• Mariah Waller
• Allison Raphael Walmer, APRN
• Zachary Weaver

• Periodontics in Okatie, SC
• Providers in Okatie, SC by specialty
• Periodontics in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.