Emily R Vanney, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019028977 Issued in IL

Practice address

7345 W 25TH St
North Riverside, IL 60546-1409

Phone

(708) 447-0900

NPI assigned

May 24, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Premier Dental Clinc, LLC

  • General Practice Dentistry
  • North Riverside, IL
  • NPI 1811168800
  NPD (past)

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339200000000",
    "number": "1780944686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 W ERIE ST",
            "address_2": "SUITE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606546914",
            "telephone_number": "920-838-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7345 W 25TH ST",
            "city": "NORTH RIVERSIDE",
            "state": "IL",
            "postal_code": "605461409",
            "telephone_number": "708-447-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANNEY",
        "first_name": "EMILY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-24",
        "last_updated": "2012-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019028977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Spiro
• Aziz Roman Susarrey, DMD
• Tapiz Mental Health Services PLLC
• Ashley Temby, PT
• The Riverside Eye Corp
• Rayven Vaughn
• Danielle Kathleen Velez
• Village of North Riverside
• Villasenor Dental Care, P. C.
• Daniel W Vittum, MD

• General Practice Dentistry in North Riverside, IL
• Providers in North Riverside, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2012; 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.