Leonard A Van Wyk, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21674 Issued in NY

Practice address

3032 Saint Paul Blvd
Rochester, NY 14617-3748

Phone

(585) 266-2321

Fax

(585) 266-3923

NPI assigned

Mar 28, 2007

Sex

Male

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326167529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3032 SAINT PAUL BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146173748",
            "telephone_number": "585-266-2321",
            "fax_number": "585-266-3923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3032 SAINT PAUL BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146173748",
            "telephone_number": "585-266-2321",
            "fax_number": "585-266-3923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN WYK",
        "first_name": "LEONARD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "21674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Van Remmen, M.A., CCC-SLP
• Kenneth N Van Sickel, M.D.
• Katherine Van Stolk-Cooke, PHD
• Lois Jean Van Tol, M.D.
• Nikole Marquis Van Wie, DO
• Van Zeilen Family Chiropractic PLLC
• Katherine Vanamburg, MS, RD
• Patti Vanauker, FNP
• Carol T Vanbork, OT
• Sandra J Vancamp, NP

• General Practice Dentistry in Rochester, NY
• Providers in Rochester, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.