Vanarsdel Family Dental, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

VANARSDEL FAMILY DENTAL, LLC

Practice address

3412 Klondike Rd
West Lafayette, IN 47906-5218

Phone

(765) 463-6726

NPI assigned

Jun 22, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Sydney Mae Vanarsdel, DDSNPI 1912574161

Title

Owner/Dentist

Phone

(812) 345-7612

Specialties & licenses 1

Addresses

Other names 1

• Klondike Dental Care Doing business as

Practitioners 3

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

• Sydney Mae Vanarsdel, DDS

  • General Practice Dentistry
  • Lafayette, IN
  • NPI 1912574161
  NPD Authorized official
• Christy Lanjie Chen, DDS

  • Dentist
  • Lafayette, IN
  • NPI 1386173862
  NPD (past)
• John Piperis James, DDS

  • General Practice Dentistry
  • West Lafayette Bra, IN
  • NPI 1538271291
  NPD (past)

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1356072078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 GAINSBORO DR",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479068888",
            "telephone_number": "812-345-7612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3412 KLONDIKE RD",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479065218",
            "telephone_number": "765-463-6726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANARSDEL FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "VANARSDEL",
        "authorized_official_first_name": "SYDNEY",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "812-345-7612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Klondike Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zury Valdez Mora
• Kelsi Valencia
• Salvador Vallejo, ATC
• Juanita M. Valley, RN, MSN, ANP-C
• Shannon M Van Hyfte, AUD
• Baileigh E Vanwanzeele, OTR/L
• McKenzie Vanyek
• Casey Rose Vasilak, ATC/L
• Robert M Vazquez, DPT
• Shelley L Velickoff, A.N.P.

• Dental Clinic/Center in West Lafayette, IN
• Providers in West Lafayette, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.