Individual provider Active NPI

Vicki Louise Vanpelt, DDS

  • General Practice Dentistry
  • Georgetown, TX
National Provider Identifier
1851469621
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16315 Issued in TX
Practice address
930 N Austin Ave
Ste. 109
Georgetown, TX 78626-4357
Phone
(512) 864-9530
Fax
(512) 864-9541
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 16315 TX Primary

Addresses

Primary practice location

930 N Austin Ave
Ste. 109
Georgetown, TX 78626-4357

Mailing address

930 N Austin Ave
Ste. 109
Georgetown, TX 78626-4357
Phone (512) 864-9530

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

LicenseStateTypeSpecialty
16315TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851469621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 N AUSTIN AVE",
            "address_2": "STE. 109",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786264357",
            "telephone_number": "512-864-9530",
            "fax_number": "512-864-9541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 N AUSTIN AVE",
            "address_2": "STE. 109",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786264357",
            "telephone_number": "512-864-9530",
            "fax_number": "512-864-9541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANPELT",
        "first_name": "VICKI",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

  • 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.