Individual provider Active NPI

John Milton Vanik, DDS

  • General Practice Dentistry
  • Annapolis, MD
National Provider Identifier
1083228449
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17128 Issued in MD
Practice address
1610 McGuckian St
Annapolis, MD 21401-4020
Phone
(410) 268-5046
NPI assigned
Sep 3, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 17128 MD Primary

Addresses

Primary practice location

1610 McGuckian St
Annapolis, MD 21401-4020

Mailing address

1610 McGuckian St
Annapolis, MD 21401-4020
Phone (410) 268-5046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20210316002476 MD Practitioner - Dentist 0143636159

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Neil W. Vanik, DDS, PA General Practice CurrentSince Sep 6, 2020 Accepting new patients

Locations

1610 McGuckian St
Annapolis, MD 21401
Phone (410) 268-5046

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1083228449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 MCGUCKIAN ST",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014020",
            "telephone_number": "410-268-5046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 MCGUCKIAN ST",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014020",
            "telephone_number": "410-268-5046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANIK",
        "first_name": "JOHN",
        "middle_name": "MILTON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "17128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.