Individual provider Active NPI

John Vann, DDS

  • General Practice Dentistry
  • Offutt AFB, NE
National Provider Identifier
1780016246
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
29198 Issued in TX
Practice address
2501 Capehart Rd
Offutt AFB, NE 68113-1043
Phone
(402) 294-3212
NPI assigned
Aug 6, 2013
Last updated
May 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 29198 TX Primary

Addresses

Primary practice location

2501 Capehart Rd
Offutt AFB, NE 68113-1043

Mailing address

2501 Capehart Rd
Offutt AFB, NE 68113-1043

Other practice location 1

RAF Lakenheath 48 MDG/SGHC
Unit 5115
Apo, AE 09461-5115
Phone (555) 555-5555

Other practice location 2

149 Hart St Bldg 1200
Sheppard AFB, TX 76311-3430
Phone (940) 676-4474

Other practice location 3

1381 S Patrick Dr
Patrick AFB, FL 32925-3606
Phone (321) 494-6366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150206000909 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0547585986

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1780016246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 CAPEHART RD",
            "city": "OFFUTT AFB",
            "state": "NE",
            "postal_code": "681131043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 CAPEHART RD",
            "city": "OFFUTT AFB",
            "state": "NE",
            "postal_code": "681131043",
            "telephone_number": "402-294-3212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "RAF Lakenheath 48 MDG/SGHC",
            "address_2": "Unit 5115",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AE",
            "postal_code": "094615115",
            "country_code": "US",
            "telephone_number": "555-555-5555",
            "country_name": "United States",
            "address_type": "MIL"
        },
        {
            "address_1": "149 Hart St Bldg 1200",
            "address_purpose": "LOCATION",
            "city": "Sheppard AFB",
            "state": "TX",
            "postal_code": "763113430",
            "country_code": "US",
            "telephone_number": "940-676-4474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1381 S Patrick Dr",
            "address_purpose": "LOCATION",
            "city": "Patrick AFB",
            "state": "FL",
            "postal_code": "329253606",
            "country_code": "US",
            "telephone_number": "321-494-6366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANN",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-06",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Offutt AFB, NE

Sources for this page

Verify at the official NPI Registry.