Van Dyke and Bacon Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

VAN DYKE AND BACON INC.

Practice address

5919 York Rd
Suiteb
Baltimore, MD 21212-3027

Phone

(410) 433-1100

Fax

(410) 435-6934

NPI assigned

Jan 26, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Martin Joseph Bacon, C.PED

Title

VP

Phone

(410) 433-1100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023164860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5919 YORK RD",
            "address_2": "SUITEB",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212123027",
            "telephone_number": "410-433-1100",
            "fax_number": "410-435-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5919 YORK RD",
            "address_2": "SUITEB",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212123027",
            "telephone_number": "410-433-1100",
            "fax_number": "410-435-6934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN DYKE AND BACON INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BACON",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "410-433-1100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.PED"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vamhcs
• Jillayne Van Den Brink, LGSW
• Barbara Van Der Vossen, LGPC
• Brittany Van Devander, LCSW-C
• Mary K Van Dommelen, MSW
• Katlyn Bostic Van Dyke, AU.D.
• Van E. Lomis, MD LLC
• Kathryn Van Eck
• Amy Van Ee
• Kennedi Van Eyken, ATC/LAT

• Customized Equipment (DME) in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Customized Equipment (DME) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.