David Todd Vanzant, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19451 Issued in OH

Practice address

2125 Rombach Ave
Wilmington, OH 45177-0272

Phone

(937) 382-2627

Fax

(937) 382-0647

NPI assigned

Jan 24, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

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.

• David T. Van Zant DDS Inc.

  • Dentist
  • Wilmington, OH
  • NPI 1962733634
  NPD (past) Authorized official

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124173638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 272",
            "address_2": "2125 ROMBACH AVENUE",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451770272",
            "telephone_number": "937-382-2627",
            "fax_number": "937-382-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 ROMBACH AVE",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451770272",
            "telephone_number": "937-382-2627",
            "fax_number": "937-382-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANZANT",
        "first_name": "DAVID",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "19451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0864113",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Preslee Ann Tunon, PT, DPT
• Patricia Jane Turton, LPN
• University Family Physicians, Inc.
• Elizabeth Valentine
• Marisa Valentine, CNP
• Ethan Varner, MD
• Polly S Vaughan, CRNP
• Kelli Lynn Veidt
• Gabrielle Nicole Veldman, DPT, PT
• Venture Health, LLC

• General Practice Dentistry in Wilmington, OH
• Providers in Wilmington, OH by specialty
• General Practice Dentistry in Ohio

• 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.