Individual provider Active NPI

Martha G Vanzina, DDS

  • Dentist
  • Palo Alto, CA
National Provider Identifier
1902932429
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
49234 Issued in CA
Practice address
511 Byron St
Palo Alto, CA 94301-2007
Phone
(650) 323-1381
Fax
(650) 323-7857
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 49234 CA Primary

Addresses

Primary practice location

511 Byron St
Palo Alto, CA 94301-2007

Mailing address

511 Byron St
Palo Alto, CA 94301-2007
Phone (650) 323-1381

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
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Sep 20, 2013 through Sep 20, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kono DDS and Vanzina DDS, a Professional Corporation CurrentSince Jan 19, 2025 Accepting new patients
Wachhorst Leigh & Meinster a Dental Corp Past Accepting new patients

Locations

555 Middlefield Rd
Ste 200
Palo Alto, CA 94301
Phone (650) 323-3333

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902932429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 BYRON ST",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012007",
            "telephone_number": "650-323-1381",
            "fax_number": "650-323-7857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 BYRON ST",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012007",
            "telephone_number": "650-323-1381",
            "fax_number": "650-323-7857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANZINA",
        "first_name": "MARTHA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "49234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.