Chinh Van, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 20697 Issued in FL

Practice address

205 S Gloria St
Clewiston, FL 33440-3507

Phone

(863) 983-7361

NPI assigned

Jun 11, 2014

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1144634718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S GLORIA ST",
            "city": "CLEWISTON",
            "state": "FL",
            "postal_code": "334403507",
            "telephone_number": "863-983-7361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S GLORIA ST",
            "city": "CLEWISTON",
            "state": "FL",
            "postal_code": "334403507",
            "telephone_number": "863-983-7361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN",
        "first_name": "CHINH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 20697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Turino
• Unique Exceptional Services LLC
• Lizet Urquiza
• Jesenia Valdes, OWNER
• Ruddy Valdes, DO
• Kevin Van, D.D.S
• Aimee Vazquez Llanos
• Evian Vichot Perez
• Wal-Mart Stores East LP (Walmart Pharmacy 10-2484)
• Wal-Mart Stores East, LP. (Walmart pharmacy 10-3164)

• General Practice Dentistry in Clewiston, FL
• Providers in Clewiston, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; 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.