David Lee Vanzant Jr., DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7586 Issued in KY

Practice address

309 Lexington Road
Lancaster, KY 40444-0770

Phone

(859) 792-3911

Fax

(859) 792-2355

NPI assigned

Jan 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114071545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 770",
            "address_2": "309 LEXINGTON ROAD",
            "city": "LANCASTER",
            "state": "KY",
            "postal_code": "404440770",
            "telephone_number": "859-792-3911",
            "fax_number": "859-792-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 LEXINGTON ROAD",
            "city": "LANCASTER",
            "state": "KY",
            "postal_code": "404440770",
            "telephone_number": "859-792-3911",
            "fax_number": "859-792-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANZANT",
        "first_name": "DAVID",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "7586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sutton Pharmacy, Inc.
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• Cody Ryan Taylor, D.C.
• Cindy Ensor Thoroughman, DC
• V Care Health Solutions LLC (Lancaster Rural Health Clinic)
• Walgreen Co (Walgreens #18083)
• Rachael Renee Walton
• Tiffany Paige Weddington
• James Robert Werkmeister, M.D.
• Kelly J Werkmeister, PA-C

• General Practice Dentistry in Lancaster, KY
• Providers in Lancaster, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.