Edward Leroy Vines, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

26556 Issued in CA

Practice address

7880 Wren Ave
Suite B-121
Gilroy, CA 95020-4943

Phone

(408) 842-3436

Fax

(408) 847-1907

NPI assigned

Oct 21, 2005

Sex

Male

Sole proprietor

No

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

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Edward L. Vines DDS Inc a Dental Corporation

  • General Practice Dentistry
  • Gilroy, CA
  • NPI 1164696803
  NPD (past) Authorized official

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1881684884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7880 WREN AVE",
            "address_2": "SUITE B-121",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950204943",
            "telephone_number": "408-842-3436",
            "fax_number": "408-847-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7880 WREN AVE",
            "address_2": "SUITE B-121",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950204943",
            "telephone_number": "408-842-3436",
            "fax_number": "408-847-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINES",
        "first_name": "EDWARD",
        "middle_name": "LEROY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "26556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana G Villarreal
• Jose Heladio Villarreal III
• Josephine K Villarreal
• Phillip Arthur Villarreal, MA, SLP
• Maria Elena Fernandez Villicana
• Colin B Vinh
• Susan Virrueta Soriano
• Oralia G Viscarra Partida
• Visual Edge Optomertic Group
• Gina Vitali

• General Practice Dentistry in Gilroy, CA
• Providers in Gilroy, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.