William Albert Van Dyk, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23573 Issued in CA

Practice address

2089 Vale Rd
Suite 30
San Pablo, CA 94806-3847

Phone

(510) 236-1662

Fax

(510) 236-5217

NPI assigned

Jul 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154341204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2089 VALE RD",
            "address_2": "SUITE 30",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063847",
            "telephone_number": "510-236-1662",
            "fax_number": "510-236-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2089 VALE RD",
            "address_2": "SUITE 30",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063847",
            "telephone_number": "510-236-1662",
            "fax_number": "510-236-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DYK",
        "first_name": "WILLIAM",
        "middle_name": "ALBERT",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "23573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aparna Upadhyaya, NP
• Vale Operating Company LP (Vale Healthcare Center)
• Vale Road Pharmacy LLC (Vale Road Pharmacy)
• Vale Road Pharmacy LLC
• Vale Road Podiatry
• Jacqueline Marie Van Voerkens
• Teresa Marie Van Woy, DPM
• Rachel Vasquez
• Nicole Vaughn
• Rosa A Vazquez

• General Practice Dentistry in San Pablo, CA
• Providers in San Pablo, CA by specialty
• General Practice Dentistry in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.