Dale Herbert Vancil, D. P, M.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

338 Issued in MN

Practice address

3485 Willow Lake Blvd.
Suite 300
Lino Lakes, MN 55110-5152

Phone

(651) 765-8200

Fax

(651) 765-8201

NPI assigned

Jul 20, 2006

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

Other names 1

• Dr. Dale Herbert Vancil Former name

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Podiatry

Education

William M. Scholl College of Podiatric Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Active Feet, Foot and Ankle Health CenterGroup PAC ID 1254401300, 18 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Active Feet , Foot & Ankle Health Center

  dba Midwest Podiatry Centers

  • Primary Podiatric Medicine Podiatrist
  • Minneapolis, MN
  • NPI 1689848392

  Foot Surgery

  Medicare reassignment Care Compare group NPD
• In House Senior Services, LLC

  • Primary Podiatric Medicine Podiatrist
  • Richfield, MN
  • NPI 1083962294
  Medicare reassignment
• Active Feet, Foot & Ankle Health Center

  dba Midwest Podiatry Center St. Anthony

  • Foot & Ankle Surgery Podiatrist
  • Minneapolis, MN
  • NPI 1164716387
  NPD
• Associated Podiatrists, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Richfield, MN
  • NPI 1669647400
  NPD (past)
• Christopher Weis

  dba Associated Podiatrists

  • Foot & Ankle Surgery Podiatrist
  • Richfield, MN
  • NPI 1780871848
  NPD (past)

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": "1205856713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3485 WILLOW LAKE BLVD",
            "address_2": "SUITE 300",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551105152",
            "telephone_number": "651-765-8200",
            "fax_number": "651-765-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3485 WILLOW LAKE BLVD.",
            "address_2": "SUITE 300",
            "city": "LINO LAKES",
            "state": "MN",
            "postal_code": "551105152",
            "telephone_number": "651-765-8200",
            "fax_number": "651-765-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCIL",
        "first_name": "DALE",
        "middle_name": "HERBERT",
        "name_prefix": "Dr.",
        "credential": "D. P, M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MN",
            "license": "338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DALE",
            "last_name": "VANCIL",
            "middle_name": "HERBERT",
            "prefix": "DR.",
            "credential": "D.P.M.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• McKay Tilton, MA, LPCC, LADC
• Timberwolf Anesthesia SC
• Alaina Jean Tolzmann
• Michael Charles Tressler, M.D
• Tonya Lee Van Ee, RN
• Matthew Watnemo, LPCC
• Charyl Renee Weingarten, DDS
• Kaylen Whetstone, CCC-SLP
• Katia J Wilcox
• Loren Max Wilkes, MD

• Foot Surgery Podiatrist in Lino Lakes, MN
• Providers in Lino Lakes, MN by specialty
• Foot Surgery Podiatrist in Minnesota

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.