NPIMap

Organization Active NPI

Roderic B. Panzer

Doing business as Vaca Valley Dental

  • General Practice Dentistry
  • Vacaville, CA
National Provider Identifier
1861603664
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22417 Issued in CA
Legal business name
RODERIC B. PANZER
Doing business as
Vaca Valley Dental
Practice address
1980 Alamo Dr Ste 2
Vacaville, CA 95687-6100
Phone
(707) 449-3777
Fax
(707) 449-0754
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Roderic B Panzer, D.D.S.NPI 1235238817
Title
Dentist
Phone
(707) 449-3777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 22417 CA Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 36691 CA

Addresses

Primary practice location

1980 Alamo Dr Ste 2
Vacaville, CA 95687-6100

Mailing address

1980 Alamo Dr Ste 2
Vacaville, CA 95687-6100
Phone (707) 449-3777

Other names 1

  • Vaca Valley Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1980 Alamo Dr
Ste 2
Vacaville, CA 95687
Phone (707) 449-3777

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861603664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 ALAMO DR STE 2",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956876100",
            "telephone_number": "707-449-3777",
            "fax_number": "707-449-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 ALAMO DR STE 2",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956876100",
            "telephone_number": "707-449-3777",
            "fax_number": "707-449-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODERIC B. PANZER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PANZER",
        "authorized_official_first_name": "RODERIC",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "707-449-3777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "22417",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "36691",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vaca Valley Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.