Nicolas Veaco, M.D., D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

30673 Issued in CA

Practice address

3427 Deer Park Dr
Suite B
Stockton, CA 95219-2355

Phone

(209) 951-9045

Fax

(209) 951-9047

NPI assigned

Aug 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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 Oct 1, 2015 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Nicolas S. Veaco, M.D., D.D.S., a Professional Corporation

  • Oral and Maxillofacial Surgery (Dentist)
  • Stockton, CA
  • NPI 1982843033
  NPD (past) Authorized official
• Veaco MD DDS George DDS Arredondo DDS a Dental Corporation

  • Oral and Maxillofacial Surgery (Dentist)
  • Stockton, CA
  • NPI 1063685303
  NPD (past) Authorized official

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992810337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3427 DEER PARK DR",
            "address_2": "SUITE B",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952192355",
            "telephone_number": "209-951-9045",
            "fax_number": "209-951-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3427 DEER PARK DR",
            "address_2": "SUITE B",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952192355",
            "telephone_number": "209-951-9045",
            "fax_number": "209-951-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEACO",
        "first_name": "NICOLAS",
        "credential": "M.D., D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "30673",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "G67819",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelica Leticia Vazquez
• Lisset Vazquez
• Stephanie Vazquez
• Vanesa Vazquez
• Veaco MD DDS George DDS Arredondo DDS a Dental Corporation
• Sarah Veeneman
• Carina Diane Vega Benavidez
• Mariela Vega Ramirez
• Andrea Jacqueline Vega
• Claudia Enith Vega

• Oral and Maxillofacial Surgery (Dentist) in Stockton, CA
• Providers in Stockton, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.