Organization Active NPI

Vincent DO DDS Inc

  • Preferred Provider Organization
  • Long Beach, CA
National Provider Identifier
1912119306
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
VINCENT DO DDS INC
Doing business as
VINCENT DO DDS INC
Practice address
324 E Anaheim St
Suite C
Long Beach, CA 90813-3209
Phone
(562) 435-8100
NPI assigned
May 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Vincent DO, DDSNPI 1003803651
Title
Owner
Phone
(562) 435-8100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X CA Primary

Addresses

Primary practice location

324 E Anaheim St
Suite C
Long Beach, CA 90813-3209

Mailing address

324 E Anaheim St
Suite C
Long Beach, CA 90813-3209
Phone (562) 435-8100

Other names 1

  • VINCENT DO DDS INC Doing business as

National Provider Directory

National Provider Directory

Locations

324 E Anaheim St
Ste C
Long Beach, CA 90813
Phone (562) 435-8100

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1912119306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 E ANAHEIM ST",
            "address_2": "SUITE C",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133209",
            "telephone_number": "562-435-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 E ANAHEIM ST",
            "address_2": "SUITE C",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133209",
            "telephone_number": "562-435-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT DO DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-435-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VINCENT DO DDS INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.