Nicholas Van Ess, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

100135815 Issued in WI

Practice address

1640 Main St Stop 1
Green Bay, WI 54302-2639

Phone

(920) 468-6371

NPI assigned

Jun 23, 2016

Last updated

Sep 18, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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 WI

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": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1225489974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 MAIN ST STOP 1",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543022639",
            "telephone_number": "920-731-7445",
            "fax_number": "920-882-2946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 MAIN ST STOP 1",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543022639",
            "telephone_number": "920-468-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN ESS",
        "first_name": "NICHOLAS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-23",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "100135815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Leonard Van Dorp, MD
• Erica Lynn Van Dyke, RDN
• Kirsten Rose Van Dyke, MS, TIC-C
• Colleen M Van Egeren, P.A.
• Josephine Maryetta Van Ess, DDS
• Amy Van Gheem, MD
• Phoenix Van Laanen, LCSW
• Vanessa Van Lanen
• Eric James Van Miller, DDS DIPLOMATE OF THE
• James Louis Van Miller, DDS

• General Practice Dentistry in Green Bay, WI
• Providers in Green Bay, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.