Active NPI
Robert Warren Van Dalen, MD
- Obstetrics & Gynecology Physician
- Burlington, NC
National Provider Identifier
1386641777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 26880
- Practice address
- 1091 Kirkpatrick Rd
Burlington, NC 27215-9714 - Phone
- (336) 538-1880
- Fax
- (336) 538-1895
- NPI assigned
- Jun 30, 2005
- Last updated
- Jul 26, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 26880 | NC | Primary |
Addresses
Primary practice location
1091 Kirkpatrick Rd
Burlington, NC 27215-9714
Mailing address
1091 Kirkpatrick Rd
Burlington, NC 27215-9714
Phone (336) 538-1880
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26880 | NC | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185408000000",
"number": "1386641777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1091 KIRKPATRICK RD",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272159714",
"telephone_number": "336-538-1880",
"fax_number": "336-538-1895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1091 KIRKPATRICK RD",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272159714",
"telephone_number": "336-538-1880",
"fax_number": "336-538-1895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN DALEN",
"first_name": "ROBERT",
"middle_name": "WARREN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-30",
"last_updated": "2007-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NC",
"license": "26880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, NC
- Urgent Care Centers of Carolina, Inc.
- Urgent Cares of America North Carolina Inc (Fastmed Urgent Care of Burlington)
- Urgent Cares of America North Carolina Inc
- Rima Vaickute, MD
- Samantha Pandick Vaillancourt, PA-C
- Carrie Van Den Berg, DPT
- Andrew Walter Van Hoewyk, D.C.
- Aimee Vandemark
- James Robert Vandre, DDS
- Rohini Reddy Vanga, MBBS,MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.