Stephanie Vandyne, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6383 Issued in KS

Practice address

413 S 10TH St
Atchison, KS 66002-2771

Phone

(913) 367-0203

Fax

(913) 367-5037

NPI assigned

Aug 10, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Amish H Patel DDS LLC

  • Dentist
  • Atchison, KS
  • NPI 1871952663
  NPD (past)

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439942400000",
    "number": "1114928348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 S 10TH ST",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "660022771",
            "telephone_number": "913-367-0203",
            "fax_number": "913-367-5037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 S 10TH ST",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "660022771",
            "telephone_number": "913-367-0203",
            "fax_number": "913-367-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDYNE",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2015-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "6383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF KC",
            "identifier": "16747019",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "19358",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4054875701",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL DENTAL",
            "identifier": "100225290A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mandy Kay Uhler, LMLP
• Valley Hope Association
• Valley Hope Medical Group, LLC
• Valley Hope Solutions, Inc.
• Mary Jo Vandyke
• Molly Ann Vanpetten, M.D.
• Cassandra D. Vilander, APRN
• Vintage Park at Atchison LLC
• Ronald W Wagner, PT, DPT
• Wayne O Wallace Jr., MD

• General Practice Dentistry in Atchison, KS
• Providers in Atchison, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.