Willem Simon Christiaan Van Opijnen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DP037178 Issued in CA

Practice address

445 Elm St
Red Bluff, CA 96080-3403

Phone

(530) 527-2877

Fax

(530) 527-2848

NPI assigned

Sep 20, 2006

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276473600000",
    "number": "1356448377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 ELM ST",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960803403",
            "telephone_number": "530-527-2877",
            "fax_number": "530-527-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 ELM ST",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960803403",
            "telephone_number": "530-527-2877",
            "fax_number": "530-527-2848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN OPIJNEN",
        "first_name": "WILLEM",
        "middle_name": "SIMON CHRISTIAAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DP037178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Upshaw, PH.D.
• Elizabeth Utecht
• Luis Felipe Valencia
• Kelimar Vallecillo Samot
• Pierrette Van Kleef
• Cari Ann Van Riper
• Susan Darlene Vance, RN
• Bethany Vander Dussen, AMFT
• Morgan Vazquez
• Paula Vazquez

• General Practice Dentistry in Red Bluff, CA
• Providers in Red Bluff, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; 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.