CHANG S. VONG, DMD, A PROFESSIONAL CORPORATION (NPI# 1134428816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134428816 |
| Entity Type | Organization |
| Organization Name | CHANG S. VONG, DMD, A PROFESSIONAL CORPORATION |
| Other Organization Name | VINEYARD DENTAL |
| Practice Address |
8940 Vintage Park Dr # 100 Sacramento CA 95829-1627 |
| Practice Telephone | 9165253200 |
| Mailing Telephone | 9165253200 |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2011-03-21 |
| Authorized Official Name | DR. CHANG VONG (PRESIDENT) |
| Authorized Official Telephone | 9165253200 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
58416 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Vineyard Dental | Doing Business As Name - Organization |
| Street Address |
8940 VINTAGE PARK DR # 100 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95829-1627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821642265 | Courtney Nelson | Counselor | 7818 Bardu Ln, Sacramento, CA 95829 | 2019-07-24 |
| 1245701390 | Loan Thi Pham | Respiratory Therapist, Registered | 8179 Sita Ct, Sacramento, CA 95829 | 2018-12-16 |
| 1295092294 | Cindy Ka Dyer | Pharmacist | 8915 Gerber Road, Sacramento, CA 95829 | 2012-04-13 |
| 1235288457 | Janet Louise Gallaway | Social Worker | 9211 Gerber Road, Sacramento, CA 95829 | 2007-01-09 |
| 1265463806 | Kim T Nguyen | Optometrist | 8347 Elk Grove Florin Rd, Suite123, Sacramento, CA 95829 | 2006-07-05 |
| 1932158441 | Baldev Kaur | Registered Nurse | Primary Care U600 Broadway, Sacramento, CA 95829 | 2006-05-10 |
| 1689732406 | Mountain Valley Child and Family Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 9200 Sweet Acacia Way, Sacramento, CA 95829-1130 | 2006-12-05 |
| 1922017334 | Heather Johnson | Marriage & Family Therapist | 9211 Gerber Rd, Sacramento, CA 95829-1130 | 2006-08-05 |
| 1841423092 | Tera Tapp | Case Manager/Care Coordinator | 9211 Gerber Rd, Sacramento, CA 95829-1130 | 2009-09-03 |
| 1396978292 | Tara Silafau | Case Manager/Care Coordinator | 9211 Gerber Rd, Sacramento, CA 95829-1130 | 2009-08-26 |
| Find all providers in zip 95829 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639784424 | Jonathan Robert Hayes | Dentist | 605 Commons Dr, Sacramento, CA 95825-6633 | 2020-09-09 |
| 1942814512 | Karisa Yamamoto | Dentist | 786 Still Breeze Way, Sacramento, CA 95831-5548 | 2020-09-01 |
| 1659981447 | Michael Steven Louie | Dentist | 7608 Bridgeview Dr, Sacramento, CA 95831-4235 | 2020-08-05 |
| 1902426950 | Yen Hai Nguyen | Dentist | 5870 Da Vinci Way, Sacramento, CA 95835-2326 | 2020-04-20 |
| 1598302432 | Alix Angelica Torres | Dentist | 7227 29th St Ste C, Sacramento, CA 95822-5005 | 2019-12-10 |
| 1912558289 | Yevhen Usachov | Dentist | 6175 Stockton Blvd Ste 260, Sacramento, CA 95824-4521 | 2019-09-26 |
| 1982250171 | Michelle Fat | Dentist | 99 Scripps Dr Ste 100, Sacramento, CA 95825-6317 | 2019-08-13 |
| 1639737414 | Katherine Co Tan | Dentist | 7850 Stockton Blvd Ste 160, Sacramento, CA 95823-4387 | 2019-06-05 |
| 1992362792 | Barnes Dentral Group, Inc | Dentist | 701 Howe Ave Ste B34, Sacramento, CA 95825-4604 | 2019-05-28 |
| 1679039960 | Reymond Bautista Dental Corporation | Dentist | 3640 Crocker Ave Ste 130, Sacramento, CA 95818-3970 | 2019-02-12 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95829 |
Please comment or provide details below to improve the information on CHANG S. VONG, DMD, A PROFESSIONAL CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.