Active NPI
Walton L Vanhoose, DMD
- General Practice Dentistry
- Lecanto, FL
National Provider Identifier
1821287954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN18101
- Practice address
- 2804 W Marc Knighton CT
Lecanto, FL 34461-6300 - Phone
- (352) 249-9258
- Fax
- (352) 249-9262
- NPI assigned
- Oct 15, 2007
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | DN18101 | FL | Primary |
Addresses
Primary practice location
2804 W Marc Knighton CT
Lecanto, FL 34461-6300
Mailing address
279 W Chase St
Hernando, FL 34442-8326
Phone (352) 249-9258
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DN1801 | Other | FL | FL STATE LICENSE |
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 |
|---|---|---|---|
| DN18101 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1821287954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "279 W CHASE ST",
"city": "HERNANDO",
"state": "FL",
"postal_code": "344428326",
"telephone_number": "352-249-9258",
"fax_number": "352-249-9262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2804 W MARC KNIGHTON CT",
"city": "LECANTO",
"state": "FL",
"postal_code": "344616300",
"telephone_number": "352-249-9258",
"fax_number": "352-249-9262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANHOOSE",
"first_name": "WALTON",
"middle_name": "L",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-15",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN18101",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL STATE LICENSE",
"identifier": "DN1801",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lecanto, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.