Organization Active NPI

C V Vanneste DDS PC

  • General Practice Dentistry
  • Clinton Township, MI
National Provider Identifier
1598972416
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
C V VANNESTE DDS PC
Practice address
37211 Harper Ave
Suite 1a
Clinton Township, MI 48036-3074
Phone
(586) 465-4488
Fax
(586) 465-7854
NPI assigned
May 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Christopher Victor Vanneste, DDSNPI 1811103518
Title
President
Phone
(586) 465-4488

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
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

37211 Harper Ave
Suite 1a
Clinton Township, MI 48036-3074

Mailing address

37211 Harper Ave
Suite 1a
Clinton Township, MI 48036-3074
Phone (586) 465-4488

Other identifiers 1

IdentifierTypeStateIssuer
4040480MedicaidMI

National Provider Directory

National Provider Directory

Locations

37211 Harper Ave
Ste 1A
Clinton Township, MI 48036
Phone (586) 465-4488

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": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598972416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37211 HARPER AVE",
            "address_2": "SUITE 1A",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480363074",
            "telephone_number": "586-465-4488",
            "fax_number": "586-465-7854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37211 HARPER AVE",
            "address_2": "SUITE 1A",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480363074",
            "telephone_number": "586-465-4488",
            "fax_number": "586-465-7854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C V VANNESTE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VANNESTE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-465-4488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4040480",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • 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.