Daniel Scott Vanderende, M.D. DTM&H

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

58026 Issued in GA

Practice address

408 Oakland St
Decatur, GA 30030-2431

Phone

(404) 686-7869

NPI assigned

Jun 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340323200000",
    "number": "1053352740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 OAKLAND ST",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 OAKLAND ST",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302431",
            "telephone_number": "404-686-7869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERENDE",
        "first_name": "DANIEL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D. DTM&H",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2012-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD0000032003",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "58026",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "TL28808",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101239536",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris Anne Van Beneden, M.D.
• Serena Lund Van Eeuwen, M.P.T
• Murray Martin Van Lear III, FNP-C
• Erika Van Meir, LMFT
• William Alexander Van Story, PHARMD
• Lynn S. Vanliew, APRN,BC
• Kiahni Alexis Vann, LAPC
• Susan Lynn Vanous, MSW
• Carrie P Vanzant, LCSW
• Annie Varghese, M.D.

• Internal Medicine Physician in Decatur, GA
• Providers in Decatur, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; 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.