Organization Active NPI

Patricia Y Vankooten DMD Inc

Doing business as Lighthouse Family Dentistry

  • Dentist
  • Monterey, CA
National Provider Identifier
1447690060
Registry record updated Jun 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PATRICIA Y VANKOOTEN DMD INC
Doing business as
Lighthouse Family Dentistry
Practice address
251 Lighthouse Ave
Monterey, CA 93940-1416
Phone
(831) 373-0478
Fax
(831) 373-0137
NPI assigned
Jun 27, 2013
Last updated
Jun 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2013

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

Authorized official

Name
Dr. Patricia Y Van Kooten, DMDNPI 1154647675
Title
Dentist
Phone
(831) 373-0478

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

251 Lighthouse Ave
Monterey, CA 93940-1416

Mailing address

251 Lighthouse Ave
Monterey, CA 93940-1416
Phone (831) 373-0478

Other names 1

  • Lighthouse Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

251 Lighthouse Ave
Monterey, CA 93940
Phone (831) 373-0478

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372291200000",
    "number": "1447690060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 LIGHTHOUSE AVE",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939401416",
            "telephone_number": "831-373-0478",
            "fax_number": "831-373-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 LIGHTHOUSE AVE",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939401416",
            "telephone_number": "831-373-0478",
            "fax_number": "831-373-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA Y VANKOOTEN DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-27",
        "last_updated": "2013-06-27",
        "status": "A",
        "authorized_official_last_name": "VAN KOOTEN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "831-373-0478",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lighthouse Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.

Verify at the official NPI Registry.