NPIMap

Organization Active NPI

David T. Van Zant DDS Inc.

  • Dentist
  • Wilmington, OH
National Provider Identifier
1962733634
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19451 Issued in OH
Legal business name
DAVID T. VAN ZANT DDS INC.
Practice address
2125 Rombach Ave
Wilmington, OH 45177-2099
Phone
(937) 382-2627
Fax
(937) 382-0647
NPI assigned
Jan 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2010

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

Authorized official

Name
David Van ZantNPI 1124173638
Title
President
Phone
(937) 382-2627

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 19451 OH Primary

Addresses

Primary practice location

2125 Rombach Ave
Wilmington, OH 45177-2099

Mailing address

2125 Rombach Ave
PO Box 272
Wilmington, OH 45177-2099

Other identifiers 1

IdentifierTypeStateIssuer
0864113MedicaidOH

National Provider Directory

National Provider Directory

Locations

2125 Rombach Ave
Wilmington, OH 45177
Phone (937) 382-2627

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263945600000",
    "number": "1962733634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 ROMBACH AVE",
            "address_2": "PO BOX 272",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 ROMBACH AVE",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772099",
            "telephone_number": "937-382-2627",
            "fax_number": "937-382-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID T. VAN ZANT DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2010-01-20",
        "status": "A",
        "authorized_official_last_name": "VAN ZANT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-382-2627"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "19451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0864113",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; 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.