Kenneth Vanasma, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

M718 Issued in SD

Practice address

15308 Grand View Dr
Piedmont, SD 57769-7326

Phone

(605) 787-6218

NPI assigned

Mar 1, 2007

Last updated

Jul 8, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720116866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15308 GRAND VIEW DR",
            "city": "PIEDMONT",
            "state": "SD",
            "postal_code": "577697326",
            "telephone_number": "605-787-6218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15308 GRAND VIEW DR",
            "city": "PIEDMONT",
            "state": "SD",
            "postal_code": "577697326",
            "telephone_number": "605-787-6218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANASMA",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "SD",
            "license": "M718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candace M Raine, LCSW, LICSW, CSW-PIP
• Mary Jane Schnortz
• Janet Schurman
• Richelle R Sims, CSW
• Therapy Solutions
• Molly Elizabeth Walega, BCBA
• Colleen Dee Williamson
• Janie Ian Williamson
• Bonnie Lee Wipf, LPN

• Oral and Maxillofacial Surgery (Dentist) in Piedmont, SD
• Providers in Piedmont, SD by specialty
• Oral and Maxillofacial Surgery (Dentist) in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.