Peter Forber Vanderven, PLLC

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

DE00006346 Issued in WA

Practice address

34709 9TH Ave S
Suite B-300
Federal Way, WA 98003-8722

Phone

(253) 874-2583

Fax

(253) 874-8957

NPI assigned

May 18, 2006

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)

Enrolled

State licenses

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363219200000",
    "number": "1750334199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34709 9TH AVE S",
            "address_2": "SUITE B-300",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038722",
            "telephone_number": "253-874-2583",
            "fax_number": "253-874-8957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34709 9TH AVE S",
            "address_2": "SUITE B-300",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038722",
            "telephone_number": "253-874-2583",
            "fax_number": "253-874-8957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERVEN",
        "first_name": "PETER",
        "middle_name": "FORBER",
        "name_prefix": "Dr.",
        "credential": "PLLC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2013-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "WA",
            "license": "DE00006346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Van H Vuong DDS & Cindy H Chou DDS, PS
• Sherill Van Schoonhoven
• Denise Diane Van Wey, PT
• Tanya Van Winkle, PTA
• Linda Jo Vandebrake, P.T.A.
• Camille Marie Vandevanter, DDS, MSD
• Vivian Vaninwegen
• Dedric Vann
• Pakwan Varapongsittikul, DDS, MS, FACP
• Eduardo Varela, MSN FNP-C

• Oral and Maxillofacial Pathology Dentistry in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Oral and Maxillofacial Pathology Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; 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.