Active NPI
Harmon Kenneth Vredeveld, DDS
- General Practice Dentistry
- Columbus, OH
National Provider Identifier
1801978408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3021942
- Practice address
- 2086 East Dublin Granville Rd
American Dental Centers
Columbus, OH 43229 - Phone
- (614) 901-0939
- Fax
- (614) 901-2890
- NPI assigned
- Oct 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3021942 | OH | Primary |
Addresses
Primary practice location
2086 East Dublin Granville Rd
American Dental Centers
Columbus, OH 43229
Mailing address
6140 Parkland Blvd
Suite 100 American Dental Centers
Mayfield Heights, OH 44124
Phone (440) 446-1555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3021942 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Dental Centers | Past | Accepting new patients | |
| American Dental Centers | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Mayfield HTS, OH
- NPI 1033289905
-
- Dentist
- Pittsburgh, PA
- NPI 1477623353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801978408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6140 PARKLAND BLVD",
"address_2": "SUITE 100 AMERICAN DENTAL CENTERS",
"city": "MAYFIELD HEIGHTS",
"state": "OH",
"postal_code": "44124",
"telephone_number": "440-446-1555",
"fax_number": "440-446-1990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2086 EAST DUBLIN GRANVILLE RD",
"address_2": "AMERICAN DENTAL CENTERS",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43229",
"telephone_number": "614-901-0939",
"fax_number": "614-901-2890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VREDEVELD",
"first_name": "HARMON",
"middle_name": "KENNETH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "3021942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.