Jason Vanman, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN24093 Issued in FL

Practice address

400 Carillon Pkwy Ste 120
St Petersburg, FL 33716-1290

Phone

(727) 299-0728

NPI assigned

Jun 5, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1245898154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CARILLON PKWY STE 120",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337161290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CARILLON PKWY STE 120",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337161290",
            "telephone_number": "727-299-0728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANMAN",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN24093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Ann Vaness
• Jennifer Vangalder
• Vanguard Emergency Physicians, LLC
• Frans Vanhaaren
• Toby William Vanlandschoot, DDS, MS
• Jillian Nichole Vansell, OD
• Rachel Vansteenbergen
• Lemi Salamanca Vanwanzeele, PT
• Shyam S Varadarajulu, MD
• Ajay Varanasi, MD

• General Practice Dentistry in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.