James Ward Van Volkinburg, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

23251 Issued in CA

Practice address

5479 N Fresno St
Suite 104
Fresno, CA 93710-8328

Phone

(559) 439-5280

Fax

(559) 439-9126

NPI assigned

Jan 23, 2007

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 26, 2013 through Apr 26, 2027

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992859086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5479 N FRESNO ST",
            "address_2": "SUITE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108328",
            "telephone_number": "559-439-5280",
            "fax_number": "559-439-9126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5479 N FRESNO ST",
            "address_2": "SUITE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108328",
            "telephone_number": "559-439-5280",
            "fax_number": "559-439-9126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN VOLKINBURG",
        "first_name": "JAMES",
        "middle_name": "WARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "23251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Van Kim Vo DDS Inc
• Anton Van Metre-Keen, PA-C
• Riley Van Patten
• Bryan Van Ravenhorst
• Daniel Van Staaveren
• Eric Yao-Wei Van, MD
• Randy Van
• Stacy Elise Vanbruggen-O'Rourke, LCSW
• David Vanburen, M.D.
• Amanda Lynn Vance, CADTP 20172

• Periodontics in Fresno, CA
• Providers in Fresno, CA by specialty
• Periodontics in California

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.