Individual provider Active NPI

Littlejohn K Vanhorn, D.D.S.

  • General Practice Dentistry
  • Sparks, NV
National Provider Identifier
1598845133
Registry record updated Dec 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5122 Issued in NV
Practice address
5901 S Los Altos Pkwy Ste 100
Sparks, NV 89436-7667
Phone
(775) 626-7772
Fax
(775) 626-7811
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5122 NV Primary

Addresses

Primary practice location

5901 S Los Altos Pkwy Ste 100
Sparks, NV 89436-7667

Mailing address

5901 S Los Altos Pkwy Ste 100
Sparks, NV 89436-7667
Phone (775) 626-7772

Other names 1

  • Dr. John K Vanhorn Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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

Enrollment IDStateProvider typePAC IDDetails
I20160322001793 NV Order and Referring Only - DentistPractitioner - Dentist 0446552616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513641600000",
    "number": "1598845133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 S LOS ALTOS PKWY STE 100",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894367667",
            "telephone_number": "775-626-7772",
            "fax_number": "775-626-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 S LOS ALTOS PKWY STE 100",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894367667",
            "telephone_number": "775-626-7772",
            "fax_number": "775-626-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANHORN",
        "first_name": "LITTLEJOHN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2017-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "5122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "VANHORN",
            "middle_name": "K",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sparks, NV

Sources for this page

Verify at the official NPI Registry.