Individual provider Active NPI

John Walter Vanlenten, DMD

  • Dentist
  • Oceanport, NJ
National Provider Identifier
1245303312
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10399 Issued in NJ
Practice address
265 E Main St
Oceanport, NJ 07757
Phone
(732) 542-6706
Fax
(732) 542-8684
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10399 NJ Primary

Addresses

Primary practice location

265 E Main St
Oceanport, NJ 07757

Mailing address

265 E Main St
Oceanport, NJ 07757
Phone (732) 542-6706

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150428000477 NJ Order and Referring Only - DentistPractitioner - Dentist 9335468271

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10399NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
John W, Van Lenten, D.M.D., P.a. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245303312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 E MAIN ST",
            "city": "OCEANPORT",
            "state": "NJ",
            "postal_code": "07757",
            "telephone_number": "732-542-6706",
            "fax_number": "732-542-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 E MAIN ST",
            "city": "OCEANPORT",
            "state": "NJ",
            "postal_code": "07757",
            "telephone_number": "732-542-6706",
            "fax_number": "732-542-8684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANLENTEN",
        "first_name": "JOHN",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "10399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanport, NJ

Sources for this page

Verify at the official NPI Registry.