David P Van Peursem DDS a Professional Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23794 Issued in CA

Legal business name

DAVID P VAN PEURSEM DDS A PROFESSIONAL CORPORATION

Practice address

508 Red Hill Ave
San Anselmo, CA 94960-2436

Phone

(415) 457-2244

Fax

(415) 457-3562

NPI assigned

Mar 19, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David P Van Peursem, DDSNPI 1366653743

Title

Ceo Dentist

Phone

(415) 457-2244

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David P Vanpeursem, D.D.S.

  • General Practice Dentistry
  • San Anselmo, CA
  • NPI 1366653743
  NPD (past) Authorized official
• Jennifer Bass Brooks, D.M.D.

  • General Practice Dentistry
  • San Anselmo, CA
  • NPI 1326192030
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427172832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 RED HILL AVE",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949602436",
            "telephone_number": "415-457-2244",
            "fax_number": "415-457-3562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 RED HILL AVE",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949602436",
            "telephone_number": "415-457-2244",
            "fax_number": "415-457-3562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID P VAN PEURSEM DDS A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAN PEURSEM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO DENTIST",
        "authorized_official_telephone_number": "415-457-2244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "23794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John David Culbertson, M.D.
• Nancy Marie Culhane, LMFT, BC-TMHP
• Brooke Idell Czuleger, OTR/L
• Katharine Way Darlington, RN, BSN, MBA
• Kathleen Daunoras, PHARMD
• DBT Center of Marin
• DBT Psychology Center of Marin, PC (DBT Center of Marin)
• Michael Defino, DC
• Noah Chris Dehlinger, DDS
• Kathrin Dellago

• General Practice Dentistry in San Anselmo, CA
• Providers in San Anselmo, 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 Aug 22, 2020; 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.