Active NPI
Brian Scott Vence, DDS
- Dentist
- West Dundee, IL
National Provider Identifier
1114199965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Practice address
- 700 Willow Lane
Suite G
West Dundee, IL 60118 - Phone
- (847) 426-1522
- Fax
- (847) 426-1581
- NPI assigned
- Apr 1, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | IL | Primary |
Addresses
Primary practice location
700 Willow Lane
Suite G
West Dundee, IL 60118
Mailing address
700 Willow Lane
Suite G
West Dundee, IL 60118
Phone (847) 426-1522
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207008000000",
"number": "1114199965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 WILLOW LANE",
"address_2": "SUITE G",
"city": "WEST DUNDEE",
"state": "IL",
"postal_code": "60118",
"telephone_number": "847-426-1522",
"fax_number": "847-426-1581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 WILLOW LANE",
"address_2": "SUITE G",
"city": "WEST DUNDEE",
"state": "IL",
"postal_code": "60118",
"telephone_number": "847-426-1522",
"fax_number": "847-426-1581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENCE",
"first_name": "BRIAN",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-01",
"last_updated": "2008-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Dundee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.