Active NPI
Patricia Y Vankooten, DMD
- Dentist
- Monterey, CA
National Provider Identifier
1154647675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 36021
- Practice address
- 251 Lighthouse Ave
Monterey, CA 93940-1416 - Phone
- (831) 373-0478
- Fax
- (831) 373-0137
- NPI assigned
- Apr 8, 2010
- Last updated
- Jun 4, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 36021 | CA | Primary |
Addresses
Primary practice location
251 Lighthouse Ave
Monterey, CA 93940-1416
Mailing address
251 Lighthouse Ave
Monterey, CA 93940-1416
Phone (831) 373-0478
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36021 | CA | MD | Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patricia Y Vankooten DMD Inc | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401840000000",
"number": "1154647675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 LIGHTHOUSE AVE",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939401416",
"telephone_number": "831-373-0478",
"fax_number": "831-373-0137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 LIGHTHOUSE AVE",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939401416",
"telephone_number": "831-373-0478",
"fax_number": "831-373-0137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANKOOTEN",
"first_name": "PATRICIA",
"middle_name": "Y",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-08",
"last_updated": "2014-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "36021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monterey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.