Organization Active NPI

Vanhoose Upper Sandusky Dental

  • Dental Clinic/Center
  • Upper Sandusky, OH
National Provider Identifier
1649780776
Registry record updated Oct 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
30.024515 Issued in OH
Legal business name
VANHOOSE UPPER SANDUSKY DENTAL
Doing business as
Upper Sandusky Dental
Practice address
646 N Sandusky Ave
Upper Sandusky, OH 43351-1028
Phone
(419) 294-2125
NPI assigned
Oct 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2017

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

Authorized official

Name
Dr. Mitchell Blake Vanhoose, DDS
Title
Dentist/Owner
Phone
(614) 370-8590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 30.024515 OH Primary

Addresses

Primary practice location

646 N Sandusky Ave
Upper Sandusky, OH 43351-1028

Mailing address

646 N Sandusky Ave
Upper Sandusky, OH 43351-1028
Phone (419) 294-2125

Other names 1

  • Upper Sandusky Dental Doing business as

National Provider Directory

National Provider Directory

Locations

646 N Sandusky Ave
Upper Sandusky, OH 43351
Phone (419) 294-2125

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506988800000",
    "number": "1649780776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 N SANDUSKY AVE",
            "city": "UPPER SANDUSKY",
            "state": "OH",
            "postal_code": "433511028",
            "telephone_number": "419-294-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 N SANDUSKY AVE",
            "city": "UPPER SANDUSKY",
            "state": "OH",
            "postal_code": "433511028",
            "telephone_number": "419-294-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANHOOSE UPPER SANDUSKY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-03",
        "last_updated": "2017-10-03",
        "status": "A",
        "authorized_official_last_name": "VANHOOSE",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "BLAKE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "614-370-8590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OH",
            "license": "30.024515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upper Sandusky Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Upper Sandusky, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2017; 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.