Active NPI
Jonathan Bruce Vane, D.M.D.
- Dentist
- Warren, RI
National Provider Identifier
1053532440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN02726
- Practice address
- 38 State St
Warren, RI 02885-3128 - Phone
- (401) 245-6131
- Fax
- (401) 245-5152
- NPI assigned
- May 1, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN02726 | RI | Primary |
Addresses
Primary practice location
38 State St
Warren, RI 02885-3128
Mailing address
38 State St
Warren, RI 02885-3128
Phone (401) 245-6131
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83816 | Other | RI | BLUE CROSS RI |
| 610890 | Other | RI | UNITED CONCORDIA |
| 14466-1 | Other | RI | UHC DENTAL |
| RG0041 | Other | MA | BLUE CROSS MA |
| JB00754 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN02726 | RI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephen J Falco Jr DMD PC LTD | Past | Accepting new patients | |
| Jonathan B. Vane DMD, P.C.. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Warren, RI
- NPI 1891944294
-
- General Practice Dentistry
- Warren, RI
- NPI 1801993720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1053532440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 STATE ST",
"city": "WARREN",
"state": "RI",
"postal_code": "028853128",
"telephone_number": "401-245-6131",
"fax_number": "401-245-5152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 STATE ST",
"city": "WARREN",
"state": "RI",
"postal_code": "028853128",
"telephone_number": "401-245-6131",
"fax_number": "401-245-5152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANE",
"first_name": "JONATHAN",
"middle_name": "BRUCE",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "RI",
"license": "DEN02726",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS RI",
"identifier": "83816",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "610890",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC DENTAL",
"identifier": "14466-1",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS MA",
"identifier": "RG0041",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "JB00754",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warren, RI
- Ashley Nicole Twining-Belliard, LMT
- Univerity Urological Associates, Inc.
- Bhumi Upadhyay, PA-C
- Van Amberg Family Chiropractic, LLC
- David Jehring Vanamberg, DC
- Robert Gilbert Vaughn Jr., O.D.
- Kourtney Wallick, PT, DPT
- Warren Dental Associates Inc
- Warren Family Practice Associates Inc
- Warren Family Practice Associates, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.