Organization Active NPI

Dr. Stephen J. Vanyo DMD PA

  • General Practice Dentistry
  • Durham, NC
National Provider Identifier
1154525996
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5783 Issued in NC
Legal business name
DR. STEPHEN J. VANYO DMD PA
Practice address
3004 Guess Rd
Suite C
Durham, NC 27705-2667
Phone
(919) 471-4630
Fax
(919) 477-3517
NPI assigned
Jun 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Kelly T Dillon
Title
Office Manager
Phone
(919) 471-4630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5783 NC Primary

Addresses

Primary practice location

3004 Guess Rd
Suite C
Durham, NC 27705-2667

Mailing address

3004 Guess Rd
Suite C
Durham, NC 27705-2667
Phone (919) 471-4630

National Provider Directory

National Provider Directory

Locations

3004 Guess Rd
Ste C
Durham, NC 27705
Phone (919) 471-4630

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154525996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 GUESS RD",
            "address_2": "SUITE C",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052667",
            "telephone_number": "919-471-4630",
            "fax_number": "919-477-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 GUESS RD",
            "address_2": "SUITE C",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052667",
            "telephone_number": "919-471-4630",
            "fax_number": "919-477-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. STEPHEN J. VANYO DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "919-471-4630",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.