Active NPI
Holly Vreeburg
- Dentist
- Windsor, CA
National Provider Identifier
1871935130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 62630
- Practice address
- 8741 Brooks Rd S
Suite 201
Windsor, CA 95492-7853 - Phone
- (707) 579-1201
- NPI assigned
- Jul 26, 2013
- Last updated
- Mar 16, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 62630 | CA | Primary |
Addresses
Primary practice location
8741 Brooks Rd S
Suite 201
Windsor, CA 95492-7853
Mailing address
8741 Brooks Rd S
Suite 201
Windsor, CA 95492-7853
Medicare participation
Medicare enrollment files- 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
- Opted out of Medicare
- Yes, effective May 1, 2017 through May 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62630 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394928000000",
"number": "1871935130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8741 BROOKS RD S",
"address_2": "SUITE 201",
"city": "WINDSOR",
"state": "CA",
"postal_code": "954927853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8741 BROOKS RD S",
"address_2": "SUITE 201",
"city": "WINDSOR",
"state": "CA",
"postal_code": "954927853",
"telephone_number": "707-579-1201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VREEBURG",
"first_name": "HOLLY",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-26",
"last_updated": "2014-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "62630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Windsor, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2014; 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.