JAMES K VICK (DDS) – Dentist, NPI 1881766830
Dentist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
41 DENTIST in VA
Provider Addresses for JAMES K VICK (DDS)
1615 BARAK LANE APT 7
BRYAN, TX 77802
Phone: (979) 846-5817
Fax: (979) 846-4600
Type: Mailing
1222 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 229033410
Phone: (434) 924-1774
Fax: (434) 243-6378
Type: Location
1215 Lee St
Charlottesville, VA 229085016
Phone: (434) 924-1774
Type: Location
PO BOX 9007
CHARLOTTESVILLE, VA 229069007
Phone:
Type: Mailing
521 N 11TH ST
RICHMOND, VA 232985016
Phone: (804) 628-0310
Fax: (804) 828-6234
Type: Mailing
Portsmouth Naval Shipyard Museum, 2, High Street, Olde Towne Commons, Portsmouth, Virginia, 23704, United States
620 JOHN PAUL JONES CIRCLE
PORTSMOUTH, VA 23708
Phone: (757) 953-7550
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $1,300.
Total Amount is formed as General ($1,300) + Research ($0) + Ownership ($0) = $1,300.
Last reported payment date: 2024-11-15 • Largest payer in this snapshot: ZIMVIE INC. ($1,300).
Total Amount
$1,300
General + Research + Ownership
Payments
12
Total payment records
General Amount
$1,300
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ZIMVIE INC. | $1,300 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-01-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220114001400 | I | Dentist | VA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 77802)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | VA | |
| - | VA | |
| A N E S T H E S I O L O G Y | VA | |
| - | VA | |
| - | VA | |
| - | VA | |
| - | VA | |
| - | VA | |
| Nurse Practitioner | VA | |
| - | VA |
Reviews
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