Michael K Vanemon, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12007674A Issued in IN

Practice address

1570 W Hospital Rd
Paoli, IN 47454-9666

Phone

(812) 723-3959

Fax

(812) 723-3909

NPI assigned

Oct 19, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ocfd Management, LLC

  • General Practice Dentistry
  • Paoli, IN
  • NPI 1194072330
  NPD (past) Authorized official
• Ocfd, PC

  • Dental Clinic/Center
  • Paoli, IN
  • NPI 1821441437
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291939200000",
    "number": "1780766832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 N COUNTY ROAD 100 W",
            "city": "PAOLI",
            "state": "IN",
            "postal_code": "474549623",
            "telephone_number": "812-723-4793",
            "fax_number": "812-723-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 W HOSPITAL RD",
            "city": "PAOLI",
            "state": "IN",
            "postal_code": "474549666",
            "telephone_number": "812-723-3959",
            "fax_number": "812-723-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANEMON",
        "first_name": "MICHAEL",
        "middle_name": "K",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2010-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12007674A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100194750",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Veronika Sukupova, LSW
• Brandy Terrell, LCSW
• Heather L. Terwiske, MSW, LSW
• Jaclynn Marie Thacker, APRN, NP-C
• Total Renal Care Inc
• Wal-Mart Stores East LP
• Jill Walker, MA CCC-SLP
• Linda Carol Wells-Freiberger, N.P.
• Kari West, PTA
• Sarah Jones Whiteman, FNP

• General Practice Dentistry in Paoli, IN
• Providers in Paoli, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.