Kelly F Viau, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

8245 Issued in NC

Practice address

103 N Salem St
Apex, NC 27502-1427

Phone

(919) 362-8797

Fax

(919) 362-1476

NPI assigned

Sep 29, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Aug 26, 2015 through Aug 26, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380931200000",
    "number": "1871580423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 N SALEM ST",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275021427",
            "telephone_number": "919-362-8797",
            "fax_number": "919-362-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N SALEM ST",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275021427",
            "telephone_number": "919-362-8797",
            "fax_number": "919-362-1476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIAU",
        "first_name": "KELLY",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-29",
        "last_updated": "2013-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401410742",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "8245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5904125",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald David Venezie, DDS, MS
• Alexander Vergara, LCMHC-A
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• Ruchika Verma
• Bryanna Veroneau, PT, DPT
• Rhoger L Villalon, DPT
• Natalie Lauren Vinson, M.ED. CCC-SLP
• Vision Development, Inc.
• Visique Optometry, PLLC
• Vitality Care PLLC

• Dentist in Apex, NC
• Providers in Apex, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.