Vic Hill Trammell Jr., D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6410 Issued in OK

Practice address

8819 N 145TH East Ave
Owasso, OK 74055-8464

Phone

(918) 272-5381

Fax

(918) 274-0815

NPI assigned

Jun 7, 2012

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: 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 Mar 23, 2016 through Mar 23, 2028

Medicare enrollment (NPD)

Not enrolled

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.

• Drake, Voto and Associates, Inc. P.C.

  • General Practice Dentistry
  • Owasso, OK
  • NPI 1194908012
  NPD (past)

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1922360783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8819 N 145TH EAST AVE",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740558464",
            "telephone_number": "918-272-5381",
            "fax_number": "918-274-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8819 N 145TH EAST AVE",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740558464",
            "telephone_number": "918-272-5381",
            "fax_number": "918-274-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAMMELL",
        "first_name": "VIC",
        "middle_name": "HILL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-07",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "6410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassidy Tibbles
• Jessica Tilley, RD, LD
• Clark Jiro Tingleaf, M.D.
• Jason Torcivia
• Touchstone Imaging of Oklahoma, LLC
• Kellie Tran, PHARMD
• Yvonne Diem Trang Tran, PHARMD
• Trang Nguyen MD PLLC
• Nathan Traylor, D.C.
• Treece Counseling and Therapeutic Play Services

• General Practice Dentistry in Owasso, OK
• Providers in Owasso, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.