Organization Active NPI

Vicki Vida DDS Dental Corporation

  • General Practice Dentistry
  • Palmdale, CA
National Provider Identifier
1972787794
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
41842 Issued in CA
Legal business name
VICKI VIDA DDS DENTAL CORPORATION
Practice address
1008 W Avenue M14, Ste B
Palmdale, CA 93551-1441
Phone
(661) 406-6113
Fax
(661) 947-7797
NPI assigned
Dec 28, 2007
Last updated
May 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Authorized official

Name
Dr. Vicki Lynn Vida, DDSNPI 1649207788
Title
Owner/President
Phone
(661) 406-6113

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
General Practice Dentistry 1223G0001X 41842 CA Primary

Addresses

Primary practice location

1008 W Avenue M14, Ste B
Palmdale, CA 93551-1441

Mailing address

1008 W Avenue M14, Ste B
Palmdale, CA 93551-1441
Phone (661) 406-6113

Other names 1

  • VICKI VIDA KESTLER DENTAL CORPORATION Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1972787794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 W AVENUE M14, STE B",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935511441",
            "telephone_number": "661-406-6113",
            "fax_number": "661-947-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 W AVENUE M14, STE B",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935511441",
            "telephone_number": "661-406-6113",
            "fax_number": "661-947-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICKI VIDA DDS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "VIDA",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "661-406-6113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VICKI VIDA KESTLER DENTAL CORPORATION",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.