DR. IAN P. VAN ZYL (NPI# 1700096377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700096377 |
| Entity Type | Individual |
| Full Name | DR. IAN P. VAN ZYL |
| Credential | DDS, MS |
| Practice Address |
21038 Calistoga St. Middletown CA 95461-1124 |
| Mailing Address |
Po Box 1124 Middletown CA 95461-1124 |
| Practice Telephone | 7079872773 |
| Practice Fax Number | 7079870688 |
| Mailing Telephone | 7079872773 |
| Mailing Fax Number | 7079870688 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
45050 | CA | Dental Providers |
| Street Address |
21038 CALISTOGA ST. |
| City | MIDDLETOWN |
| State | CA |
| Zip Code | 95461-1124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114137775 | Ian Van Zyl Bds,dds,ms & Ewa Konopka,dds,apc | Dentist | 21038 Calistoga St., Middletown, CA 95461-1124 | 2007-05-23 |
| 1285844852 | Ewa Konopka | Dentist | 21038 Calistoga St., Middletown, CA 95461-1124 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518523489 | Melissa Lynn Lipari | Student in an Organized Health Care Education/Training Program | 21825 Jerusalem Grade Road, Middletown, CA 95461 | 2019-05-15 |
| 1285952929 | Deidre Anne O'malley | Acupuncturist | 21128 Calistoga St., Suite A, Middletown, CA 95461 | 2010-05-05 |
| 1760502868 | Laura Goates Hobson | Acupuncturist | 10685 Sycamore Road, Loch Lomond, CA 95461 | 2007-03-30 |
| 1558418483 | Elizabeth Montgomery | Marriage & Family Therapist | 21050 Bush St., Middletown, CA 95461 | 2007-01-04 |
| 1417027319 | Sheila Safarian | Dentist | 21128 Calistoga Road, #0123, Middletown, CA 95461 | 2006-11-08 |
| 1972593788 | Adventist Health Clearlake Hospital Inc. | Clinic/Center | 21337 Bush St, Middletown, CA 95461 | 2005-10-24 |
| 1194154377 | Kate Newman | Counselor | 10155 Socrates Mine Road, Middletown, CA 95461 | 2013-11-07 |
| 1770911745 | Lynn Jordan | Registered Nurse | 21337 Bush Street, Middletown, CA 95461 | 2013-10-29 |
| 1699102004 | Daylen Cecil Roberts | Counselor | 10155 Socrates Mine Road, Middletown, CA 95461 | 2013-09-30 |
| 1063791028 | Adventist Health California Medical Group, Inc. | Family Medicine | 21337 Bush Street, Middletown, CA 95461 | 2011-08-09 |
| Find all providers in zip 95461 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902272 | Prajna Banan | Dentist | 10833 Le Conte Ave Rm A0-156a, Los Angeles, CA 90095-3075 | 2020-11-03 |
| 1780299891 | Craig W. Conrow Dds Ms Inc | Dentist | 73993 Highway 111 Ste 200, Palm Desert, CA 92260-4034 | 2020-09-15 |
| 1750995601 | Maggie T. Chao A Professional Corporation | Dentist | 1475 Cedarwood Ln Ste C, Pleasanton, CA 94566-6128 | 2020-09-08 |
| 1447881123 | Setia Dental Corporation | Dentist | 1130 Folsom St, San Francisco, CA 94103-3928 | 2020-01-30 |
| 1780239954 | Rishabh Pravin Acharya | Dentist | 707 Parnassus Avenue, D-4000, San Francisco, CA 94143 | 2019-08-05 |
| 1295395796 | Pleasant Hill Prosthodontics | Dentist | 401 Gregory Ln Ste 130, Pleasant Hill, CA 94523-2836 | 2019-06-17 |
| 1346706363 | Todd M Yonemura Dds, Apc | Dentist | 400 El Cerro Blvd., Suite #103, Danville, CA 94526 | 2019-02-14 |
| 1457834889 | William Ginzburg Dental Center Inc | Dentist | 13286 Fiji Way, Marina Del Rey, CA 90292-7119 | 2018-09-12 |
| 1528549730 | Alison Fishman | Dentist | 160 Bovet Rd Ste 307, San Mateo, CA 94402-3138 | 2018-08-25 |
| 1912483389 | Edmond Armand Bedrossian | Dentist | 450 Sutter St Rm 2618, San Francisco, CA 94108-4205 | 2018-07-18 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLETOWN |
| Zip Code | 95461 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.