Alex Van Den Kolk II, RPSGT, RCP

Primary specialty

Certified Respiratory TherapistTaxonomy code 227800000X

License

003697 Issued in AZ

Practice address

3420 S Mercy Rd Ste 107
Gilbert, AZ 85297-0420

Phone

(480) 214-9000

Fax

(480) 214-9999

NPI assigned

Dec 3, 2012

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Enticare PC

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Chandler, AZ
  • NPI 1710014410
  NPD (past)

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1134464183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 S MERCY RD STE 107",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970420",
            "telephone_number": "480-214-9000",
            "fax_number": "480-214-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 S MERCY RD STE 107",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970420",
            "telephone_number": "480-214-9000",
            "fax_number": "480-214-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DEN KOLK",
        "first_name": "ALEX",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "RPSGT, RCP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-03",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "AZ",
            "license": "003697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryann Valois
• Value Dental Centers Gilbert Az, LLC
• Value Dental Gilbert LLC
• Thuy Van Belkom, LMT
• Christopher Van Damme
• Van Duker Pediatric PLLC
• Joshua Lee Van Gundy
• Madison Marie Van Laar
• Jennifer Anne Van Orden
• Madelyn Louise Van Wyk, OTR/L

• Certified Respiratory Therapist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Certified Respiratory Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.