Organization Active NPI

Dr. Vanvranken & Associates

  • Dental Clinic/Center
  • Tullahoma, TN
National Provider Identifier
1811168479
Registry record updated Mar 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DR. VANVRANKEN & ASSOCIATES
Practice address
1958 N Jackson St
Tullahoma, TN 37388-2204
Phone
(931) 454-0001
Fax
(931) 454-0973
NPI assigned
Mar 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2008

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

Authorized official

Name
Mrs. Lavena Faye Peavyhouse, CDA, RDH, MPH
Title
Office Manager/Hygienist
Phone
(931) 454-0001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1958 N Jackson St
Tullahoma, TN 37388-2204

Mailing address

1958 N Jackson St
Tullahoma, TN 37388-2204
Phone (931) 454-0001

National Provider Directory

National Provider Directory

Locations

1958 N Jackson St
Tullahoma, TN 37388
Phone (931) 454-0001

NPI Registry JSON

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1811168479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1958 N JACKSON ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882204",
            "telephone_number": "931-454-0001",
            "fax_number": "931-454-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1958 N JACKSON ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882204",
            "telephone_number": "931-454-0001",
            "fax_number": "931-454-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. VANVRANKEN & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-21",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "PEAVYHOUSE",
        "authorized_official_first_name": "LAVENA",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "OFFICE MANAGER/HYGIENIST",
        "authorized_official_telephone_number": "931-454-0001",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CDA, RDH, MPH"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tullahoma, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; 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.