Elizabeth Ann Vantassell, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

CA 37765 Issued in CA

Practice address

135 Keller St
Ste F
Petaluma, CA 94952-2943

Phone

(707) 778-6006

Fax

(707) 778-1672

NPI assigned

Nov 2, 2005

Last updated

Dec 28, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Elizabeth Ann Lapthorne Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lester Dental Corporation

  dba General Dentistry of Petaluma, Anastasia Lester, DDS

  • Dental Clinic/Center
  • Petaluma, CA
  • NPI 1083247480
  NPD (past)

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482883200000",
    "number": "1467443010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 KELLER ST",
            "address_2": "STE F",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949522943",
            "telephone_number": "707-778-6006",
            "fax_number": "707-778-1672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 KELLER ST",
            "address_2": "STE F",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949522943",
            "telephone_number": "707-778-6006",
            "fax_number": "707-778-1672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANTASSELL",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2016-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "CA 37765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "LAPTHORNE",
            "middle_name": "ANN",
            "prefix": "MISS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Darrell E Vance
• Kory Fitzgerald Vanderpool
• Samuel James Vangsness, RBT
• Dakota Leeann Vanhook
• Peggy Louise Vanpatten, M.S.
• Jose Manuel Varela-Santos
• Rileigh Michelle Varga, OTD
• Sophia Vasquez
• Yesenia Vasquez
• Cheri Vaughan

• Dentist in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; 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.