Individual provider Active NPI

John Edward Vance, BOCO, ATC

  • Orthotist
  • Bethesda, MD
National Provider Identifier
1942741723
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
License
C50185 Issued in MD
Practice address
Wrnmmc Orthotics & Prosthetics
8901 Wisconsin Avenue, BLDG 19, FL 1St, RM 1500
Bethesda, MD 20889
Phone
(301) 221-1638
NPI assigned
Mar 14, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X C50185 MD Primary

Addresses

Primary practice location

Wrnmmc Orthotics & Prosthetics
8901 Wisconsin Avenue, BLDG 19, FL 1St, RM 1500
Bethesda, MD 20889

Mailing address

Wrnmmc Orthotics & Prosthetics
8901 Wisconsin Avenue, BLDG 19, FL 1St, RM 1500
Bethesda, MD 20889

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

LicenseStateTypeSpecialty
C50185MDMDOrthotist

NPI Registry JSON

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1942741723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WRNMMC ORTHOTICS & PROSTHETICS",
            "address_2": "8901 WISCONSIN AVENUE, BLDG 19, FL 1ST, RM 1500",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "20889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WRNMMC ORTHOTICS & PROSTHETICS",
            "address_2": "8901 WISCONSIN AVENUE, BLDG 19, FL 1ST, RM 1500",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "20889",
            "telephone_number": "301-221-1638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "credential": "BOCO, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-14",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "MD",
            "license": "C50185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.