Stephen C. Vantasell, D.D.S.,P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

5802 Issued in IA

Legal business name

STEPHEN C. VANTASELL, D.D.S.,P.C.

Practice address

51 W Adams Ave
Fairfield, IA 52556-3471

Phone

(641) 472-3158

Fax

(641) 469-5111

NPI assigned

Jan 15, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Stephen C Vantasell, DDSNPI 1124067970

Title

President

Phone

(641) 472-3158

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Craig Vantasell, D.D.S.

  • General Practice Dentistry
  • Fairfield, IA
  • NPI 1124067970
  NPD (past) Authorized official
• Martin Charles Gleason, D.M.D.

  • General Practice Dentistry
  • Fairfield, IA
  • NPI 1659310803
  NPD (past)

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1336325844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 W ADAMS AVE",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525563471",
            "telephone_number": "641-472-3158",
            "fax_number": "641-469-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 W ADAMS AVE",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525563471",
            "telephone_number": "641-472-3158",
            "fax_number": "641-469-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN C. VANTASELL, D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "VANTASELL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "641-472-3158",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IA",
            "license": "5802",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IA",
            "license": "6820",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian K. Simmons, LISW
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• Sunny Brook Living Care Center, L.C. (Sunny Brook Living Care Center)
• Sunnybrook Assisted Living, Inc.
• Sunnybrook Home Care, Inc.
• Sunnybrook Homecare LLC (Sunnybrook Home Care)

• Dentist in Fairfield, IA
• Providers in Fairfield, IA by specialty
• Dentist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.