Individual provider Active NPI

Dennis James Van Meter, DMD

  • General Practice Dentistry
  • Dayton, TN
National Provider Identifier
1780790477
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7349 Issued in TN
Practice address
225 Main St
Suite 400
Dayton, TN 37321-1329
Phone
(423) 775-1444
Fax
(423) 775-1103
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 7349 TN Primary

Addresses

Primary practice location

225 Main St
Suite 400
Dayton, TN 37321-1329

Mailing address

225 Main St
Suite 400
Dayton, TN 37321-1329
Phone (423) 775-1444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160930000922 TN Order and Referring Only - Other (Non-Physician) 1759678055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
739TNMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780790477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MAIN ST",
            "address_2": "SUITE 400",
            "city": "DAYTON",
            "state": "TN",
            "postal_code": "373211329",
            "telephone_number": "423-775-1444",
            "fax_number": "423-775-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MAIN ST",
            "address_2": "SUITE 400",
            "city": "DAYTON",
            "state": "TN",
            "postal_code": "373211329",
            "telephone_number": "423-775-1444",
            "fax_number": "423-775-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN METER",
        "first_name": "DENNIS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "7349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, TN

Sources for this page

Verify at the official NPI Registry.