Active NPI
Jennifer Rose Van Hook, DMD
- Student in an Organized Health Care Education/Training Program
- West Columbia, SC
National Provider Identifier
1053971861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 0401416503
- Practice address
- 3573 Sunset Blvd
West Columbia, SC 29169-3043 - Phone
- (803) 973-4530
- Fax
- (803) 973-4533
- NPI assigned
- Jun 14, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 0401416503 | VA | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DGD.10440 | SC | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 0401416503 | VA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 0401416503 | VA | Primary |
Addresses
Primary practice location
3573 Sunset Blvd
West Columbia, SC 29169-3043
Mailing address
3573 Sunset Blvd
West Columbia, SC 29169-3043
Phone (803) 973-4530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Sep 29, 2023 through Sep 29, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DGD.10440 | SC | MD | Oral and Maxillofacial Surgery (Dentist) |
| 10585 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS Farrell, Farrell, Nale, Cook, Kapitan, Mohamed, Franco, Wessel, Ho | Oral and Maxillofacial Surgery | Past | Accepting new patients |
| DRS Farrell, Farrell, Nale, Cook, Kapitan, Mohamed, Franco, Wessel, Ho | Oral & Maxillofacial Surgery | 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.
-
dba Carolinas Center For Oral And Facial Surgery
- Oral & Maxillofacial Surgery (D.M.D.)
- Rock Hill, SC
- NPI 1861913022
-
dba Carolinas Center For Oral And Facial Surgery
- Oral & Maxillofacial Surgery (D.M.D.)
- Charlotte, NC
- NPI 1972554186
Oral and Maxillofacial Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692662400000",
"number": "1053971861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3573 SUNSET BLVD",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291693043",
"telephone_number": "803-973-4530",
"fax_number": "803-973-4533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3573 SUNSET BLVD",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291693043",
"telephone_number": "803-973-4530",
"fax_number": "803-973-4533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN HOOK",
"first_name": "JENNIFER",
"middle_name": "ROSE",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-14",
"last_updated": "2023-08-22",
"certification_date": "2023-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "VA",
"license": "0401416503",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "SC",
"license": "DGD.10440",
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "VA",
"license": "0401416503",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "VA",
"license": "0401416503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.