Alan Kelso Vance, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

WC2553 Issued in WV

Practice address

1031 Quarrier St Suite 502
Charleston, WV 25301

Phone

(304) 343-1733

Fax

(304) 343-1734

NPI assigned

May 7, 2008

Last updated

Apr 4, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in WV

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.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Logan Mingo Area Mental Health Inc

  • Primary Care Clinic/Center
  • Logan, WV
  • NPI 1427522218
  Medicare reassignment NPD
• Logan-Mingo Area Mental Health, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Logan, WV
  • NPI 1346395035
  Medicare reassignment NPD
• Logan-Mingo Area Mental Health, Inc

  dba Mountain Laurel Integrated Healthcare

  • Federally Qualified Health Center (FQHC)
  • Logan, WV
  • NPI 1598396202
  NPD

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365033600000",
    "number": "1013183268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 QUARRIER ST SUITE 502",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "25301",
            "telephone_number": "304-343-1733",
            "fax_number": "304-343-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 QUARRIER ST SUITE 502",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "25301",
            "telephone_number": "304-343-1733",
            "fax_number": "304-343-1734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "ALAN",
        "middle_name": "KELSO",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-07",
        "last_updated": "2013-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "WC2553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Van Beveren
• Henry Thomas Van Pietersom
• Scott Daniel Vanbrocklin, PHARM. D.
• Rita Vanbuskirk
• Diana Vance Acosta, DO
• Alisha Vance
• Amy Vance
• Amy Vance
• Breanna Janelle Vance, RN
• Cara Vance

• General Practice Dentistry in Charleston, WV
• Providers in Charleston, WV by specialty
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.