Individual provider Active NPI

Vincent Robert Locascio, DMD

  • General Practice Dentistry
  • Elk Grove, CA
National Provider Identifier
1851812838
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
102209 Issued in CA
Practice address
8101 Laguna Blvd Ste 1
Elk Grove, CA 95758-8203
Phone
(209) 879-2727
NPI assigned
Jun 29, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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 102209 CA Primary

Addresses

Primary practice location

8101 Laguna Blvd Ste 1
Elk Grove, CA 95758-8203

Mailing address

8101 Laguna Blvd Ste 1
Elk Grove, CA 95758-8203
Phone (916) 683-4333

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
102209CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Locascio Family Dentistry PC CurrentSince May 8, 2022 Accepting new patients
Fred P Dinitz DDS Inc General Practice PastSince May 1, 2022 Accepting new patients

Locations

8101 Laguna Blvd
Ste 1
Elk Grove, CA 95758
Phone (916) 683-4333

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1851812838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 LAGUNA BLVD STE 1",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957588203",
            "telephone_number": "916-683-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 LAGUNA BLVD STE 1",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957588203",
            "telephone_number": "209-879-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCASCIO",
        "first_name": "VINCENT",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-29",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "102209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.