Daniel Scott Vanvolkenburgh, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS036051 Issued in PA

Practice address

4004 Ashburner St
Philadelphia, PA 19136-2801

Phone

(215) 624-2508

Fax

(215) 624-8240

NPI assigned

Feb 28, 2007

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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194853564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 FARMERSVILLE RD",
            "city": "CALIFON",
            "state": "NJ",
            "postal_code": "078303300",
            "telephone_number": "908-832-2008",
            "fax_number": "215-624-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 ASHBURNER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191362801",
            "telephone_number": "215-624-2508",
            "fax_number": "215-624-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANVOLKENBURGH",
        "first_name": "DANIEL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS036051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bevis Vanterpool, PHARMD
• Kisha Vanterpool, MD
• Grace Vanthuyne, PA-C
• Skyla Imani Vantrikt, BS, CLD, CPD
• Sravya Gayatri Vanukuru, MD
• Meredyth Noelle Vanvreede, CRNP
• Christine A Vanzandbergen, PA-C
• Kristin Maria Vanzant, M.D.
• Neha Vapiwala, MD
• Gabor Varadi, MD

• General Practice Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Dentistry in Pennsylvania

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.