Active NPI
Mark S Vigneri, DENTIST
- General Practice Dentistry
- Casper, WY
National Provider Identifier
1861511313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1154
- Practice address
- 5860 E 2ND St
Ste 200
Casper, WY 82609 - Phone
- (307) 315-6008
- Fax
- (307) 315-6010
- NPI assigned
- Mar 28, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1154 | WY | Primary |
Addresses
Primary practice location
5860 E 2ND St
Ste 200
Casper, WY 82609
Mailing address
5860 E 2ND St
Ste 200
Casper, WY 82609
Phone (307) 315-6008
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 |
|---|---|---|---|
| 1154 | WY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488153600000",
"number": "1861511313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5860 E 2ND ST",
"address_2": "STE 200",
"city": "CASPER",
"state": "WY",
"postal_code": "82609",
"telephone_number": "307-315-6008",
"fax_number": "307-315-6010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5860 E 2ND ST",
"address_2": "STE 200",
"city": "CASPER",
"state": "WY",
"postal_code": "82609",
"telephone_number": "307-315-6008",
"fax_number": "307-315-6010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIGNERI",
"first_name": "MARK",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DENTIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2017-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WY",
"license": "1154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.