Active NPI
Henry A Vanhala, DDS
- General Practice Dentistry
- North Canton, OH
National Provider Identifier
1386828879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14482
- Practice address
- 1515 Portage St NW
North Canton, OH 44720-2290 - Phone
- (330) 494-0646
- Fax
- (330) 494-9181
- NPI assigned
- Dec 20, 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14482 | OH | Primary |
Addresses
Primary practice location
1515 Portage St NW
North Canton, OH 44720-2290
Mailing address
1515 Portage St NW
Suite I
North Canton, OH 44720-2290
Phone (330) 494-0646
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 |
|---|---|---|---|
| 14482 | OH | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362614400000",
"number": "1386828879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 PORTAGE ST NW",
"address_2": "SUITE I",
"city": "NORTH CANTON",
"state": "OH",
"postal_code": "447202290",
"telephone_number": "330-494-0646",
"fax_number": "330-494-9181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 PORTAGE ST NW",
"city": "NORTH CANTON",
"state": "OH",
"postal_code": "447202290",
"telephone_number": "330-494-0646",
"fax_number": "330-494-9181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANHALA",
"first_name": "HENRY",
"middle_name": "A",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-20",
"last_updated": "2013-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "14482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.