Andrew John Vlosich, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

37465 Issued in TX

Practice address

3503 S Soncy Rd
Amarillo, TX 79119-6401

Phone

(806) 374-8011

NPI assigned

Jul 5, 2021

Last updated

Jul 5, 2021By 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

Other names 1

• Drew John Vlosich Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Houston, Vlosich & Short DDS Inc.

  • General Practice Dentistry
  • Amarillo, TX
  • NPI 1982988614
  NPD (past)

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

{
    "created_epoch": "1625443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625443200000",
    "number": "1912578675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5706 FOXCROFT DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791097407",
            "telephone_number": "806-223-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3503 S SONCY RD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196401",
            "telephone_number": "806-374-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VLOSICH",
        "first_name": "ANDREW",
        "middle_name": "JOHN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-05",
        "last_updated": "2021-07-05",
        "certification_date": "2021-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "37465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DREW",
            "last_name": "VLOSICH",
            "middle_name": "JOHN",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Julie Ann Virden
• Amberlynn Vise-Wall, LCSW
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• Vitality Drip Bar, LLC
• Vitality Home Care, LLC
• Edward John Vlosich, DDS
• Spence Edward Vlosich, DDS
• Colin Vo, FNP-C
• Nguyen T Vo, MD
• Thien Toan Vo, M.D.

• Dentist in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2021; 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.