Thomas Arthur Vodak, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

33682 Issued in CA

Practice address

2400 Washington Ave
Suite #310
Redding, CA 96001-2832

Phone

(530) 243-3223

Fax

(530) 243-8821

NPI assigned

Jul 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881617637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 WASHINGTON AVE",
            "address_2": "SUITE #310",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012832",
            "telephone_number": "530-243-3223",
            "fax_number": "530-243-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 WASHINGTON AVE",
            "address_2": "SUITE #310",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012832",
            "telephone_number": "530-243-3223",
            "fax_number": "530-243-8821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VODAK",
        "first_name": "THOMAS",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "33682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Redding, CA
• Providers in Redding, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.