Individual provider Active NPI

Bartel Vanoostendorp V, D.D.S.

  • General Practice Dentistry
  • Brevard, NC
National Provider Identifier
1700939196
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
NC8913 Issued in NC
Practice address
4 Market St Ste 4202
Brevard, NC 28712-5637
Phone
(828) 884-3702
Fax
(828) 877-4065
NPI assigned
Jan 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5677 AZ
General Practice Dentistry 1223G0001X NC8913 NC Primary

Addresses

Primary practice location

4 Market St Ste 4202
Brevard, NC 28712-5637

Mailing address

4 Market St Ste 4202
Brevard, NC 28712-5637
Phone (828) 884-3702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5677AZMDChiropractor
NC8913NCMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1700939196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MARKET ST STE 4202",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287125637",
            "telephone_number": "828-884-3702",
            "fax_number": "828-877-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MARKET ST STE 4202",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287125637",
            "telephone_number": "828-884-3702",
            "fax_number": "828-877-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANOOSTENDORP",
        "first_name": "BARTEL",
        "name_prefix": "Dr.",
        "name_suffix": "V",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "5677",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "NC8913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brevard, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.