Active NPI
Karen Patricia Van Dyke, DDS
- General Practice Dentistry
- Burney, CA
National Provider Identifier
1376636092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 37301
- Practice address
- 20615 Commerce Way
Burney, CA 96013 - Phone
- (530) 335-3521
- Fax
- (530) 335-5558
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 37301 | CA | Primary |
Addresses
Primary practice location
20615 Commerce Way
Burney, CA 96013
Mailing address
20615 Commerce Way
Burney, CA 96013
Phone (530) 335-3521
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B37301-02 | Other | CA | HEALTY FAMILIES |
Other names 1
- Dr. K. Trish Van Dyke
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37301 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Valleys Health Centers | Past | Accepting new patients | |
| Mountain Valleys Health Centers | Past | Accepting new patients |
Interoperability endpoints
- kvandyke678578@direct.ochin.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Burney, CA
- NPI 1184176257
-
- Federally Qualified Health Center (FQHC)
- Bieber, CA
- NPI 1356438261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376636092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20615 COMMERCE WAY",
"city": "BURNEY",
"state": "CA",
"postal_code": "96013",
"telephone_number": "530-335-3521",
"fax_number": "530-335-5558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20615 COMMERCE WAY",
"city": "BURNEY",
"state": "CA",
"postal_code": "96013",
"telephone_number": "530-335-3521",
"fax_number": "530-335-5558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN DYKE",
"first_name": "KAREN",
"middle_name": "PATRICIA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "37301",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTY FAMILIES",
"identifier": "B37301-02",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "K. TRISH",
"last_name": "VAN DYKE",
"prefix": "DR.",
"credential": "DDS",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Burney, CA
Sources for this page
- 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.