Louann B Vanliew, D.M.D ; F.A.G.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI20394 Issued in NJ

Practice address

710 Lacey Rd.
Forked River, NJ 08731

Phone

(609) 242-3567

Fax

(609) 242-3330

NPI assigned

Sep 15, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1255326237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 LACEY RD.",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "08731",
            "telephone_number": "609-242-3567",
            "fax_number": "609-242-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 LACEY RD.",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "08731",
            "telephone_number": "609-242-3567",
            "fax_number": "609-242-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANLIEW",
        "first_name": "LOUANN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.M.D ; F.A.G.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-15",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI20394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ DENTAL LICENSE",
            "identifier": "DI20394",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nina Lapidario Tubilleja, MD
• Janet Ang Tumaliuan, MD
• Alison Laura Turton, CPHT
• Ellen M Twigg-Patrick, LSW: 10/17/2016
• United Circle LLC
• Amy Vansant, MSW
• Carlene Vermeal
• Noelle Lucy Vieira, LMT
• Kishorereddy Vijaya, B.PHARM
• Michael Christopher Vile, MSPT

• General Practice Dentistry in Forked River, NJ
• Providers in Forked River, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.