Alicia Jade Van Drunen, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

30.027252 Issued in OH

Practice address

2610 E Dublin Granville Rd
Columbus, OH 43231-4000

Phone

(614) 794-7480

NPI assigned

May 9, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1295425635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8947 TAMARACK DR",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483171483",
            "telephone_number": "586-246-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 E DUBLIN GRANVILLE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432314000",
            "telephone_number": "614-794-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DRUNEN",
        "first_name": "ALICIA",
        "middle_name": "JADE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.027252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette Van Dam, APRN
• John Van de Pol
• Jelle Philip Jacob Van Der List, MD PHD
• Tamryn Van Der Walt
• Theresa Viola Van Dootingh, MSW, LISW
• Desiree Ettalee Van Dyne, PA
• Samantha L Van Fleet
• Elizabeth Van Hest, LISW-S
• Jack Alexander Van Horn, PT, DPT
• Taylor Elizabeth Van Horn, BS IN HDFS

• Dentist in Columbus, OH
• Providers in Columbus, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.