John A Vandercreek, D.D.S.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

07103 Issued in IA

Practice address

Naval Postgraduate Dental School
8901 Wisconsin Ave
Bethesda, MD 20889-0001

Phone

(301) 295-1550

NPI assigned

Oct 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568555720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9631 PARKWOOD DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144052",
            "telephone_number": "301-295-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVAL POSTGRADUATE DENTAL SCHOOL",
            "address_2": "8901 WISCONSIN AVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208890001",
            "telephone_number": "301-295-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERCREEK",
        "first_name": "JOHN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "IA",
            "license": "07103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Van Winter
• Phuong Anh Thi Van
• John Edward Vance, BOCO, ATC
• Ronald Vande Loo, PH.D.
• David Duane Vandenberg, PH.D., M.AC.
• Vien Hoang Vanderhoof, NURSE PRACTITIONER
• Gloria Kay Vanderhorst, PH.D.
• Heather Jeanine Vanmill
• Helen P. Vansant, RN
• Carter Vanwaes, M.D.

• Prosthodontics in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Prosthodontics in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.