R. Allen Vanatter III, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

WV2516 Issued in WV

Practice address

677 Central Ave
Barboursville, WV 25504-1315

Phone

(304) 733-2300

Fax

(304) 736-8328

NPI assigned

Jul 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nibert & Hettlinger Family Dentistry, Inc

  • Dentist
  • Barboursville, WV
  • NPI 1053858134
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912922691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 BIG BEND RD",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255049792",
            "telephone_number": "304-736-7879",
            "fax_number": "304-736-8328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 CENTRAL AVE",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041315",
            "telephone_number": "304-733-2300",
            "fax_number": "304-736-8328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANATTER",
        "first_name": "R.",
        "middle_name": "ALLEN",
        "name_suffix": "III",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "WV2516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominique Valdez
• Jessica Valentine
• Valley Health Systems, Inc (Valley Health FoodFair Route 60)
• Valley Health Systems, Inc. (Valley Health FoodFair Rt 60)
• Gina Valyi
• Amber Vance
• Betty Vance
• Cassandra Vance
• Catrina Vance
• Kristi Vance

• General Practice Dentistry in Barboursville, WV
• Providers in Barboursville, WV by specialty
• General Practice Dentistry in West Virginia

• 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.

Verify at the official NPI Registry.