Larry Van Ameyde, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

10374 Issued in MI

Practice address

51745 Van Dyke Ave
Shelby Township, MI 48316-4451

Phone

(586) 323-1600

Fax

(586) 323-1644

NPI assigned

Jul 19, 2006

Last updated

Sep 6, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Previously, effective Aug 16, 2010 through Aug 16, 2026

Medicare enrollment (NPD)

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.

• L Van Ameyde DDS, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Shelby TWP, MI
  • NPI 1700064847
  Authorized official Same address or phone
• L Van Ameyede DDS PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Shelby Township, MI
  • NPI 1740393719
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189036800000",
    "number": "1679592489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51745 VAN DYKE AVE",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483164451",
            "telephone_number": "586-323-1600",
            "fax_number": "586-323-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51745 VAN DYKE AVE",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483164451",
            "telephone_number": "586-323-1600",
            "fax_number": "586-323-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN AMEYDE",
        "first_name": "LARRY",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "10374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "9755011140",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Uzma Rehman DO PC (Macomb Hand Surgery)
• Uzma Rehman DO PC
• Talli Lynn Vadnais, PTA
• John Vincent Valeri, DDS
• Shannon Valicevic
• Van de Vyver Dental, P.C. (Great Lakes Dentistry)
• Shawn Thomas Van de Vyver, DDS
• Kathleen P Vani, DDS PLLC
• Hailey Vansen, DC
• Zachary Vansen, D.C

• Oral and Maxillofacial Surgery (Dentist) in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.