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DAVID L VAN WORMER
NPI 1073736807
Dentist in Warsaw, IN

Active since April 10, 2007PECOS Enrolled
312 NORTH LAKE ST., WARSAW, IN 46580(574) 269-1952 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David L Van Wormer NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID L VAN WORMER (NPI 1073736807) is an individual dentist in Warsaw, Indiana, licensed in Indiana (12009888) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073736807
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDAVID L VAN WORMER
Location Address312 NORTH LAKE ST.Warsaw, IN 46580
Mailing Address312 North Lake St.Warsaw, IN 46580 · (574) 269-1952
Phone(574) 269-1952
Sole ProprietorYes
Enumeration DateApril 10, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1073736807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IN · 12009888
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
312 NORTH LAKE ST., Warsaw, IN 46580
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David L Van Wormer is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46580 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Van Wormer's NPI number?

The NPI number for David Van Wormer is 1073736807. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is David Van Wormer located?

David Van Wormer practices at 312 North Lake St., Warsaw, IN 46580. The listed phone number is (574) 269-1952.

What is David Van Wormer's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is David Van Wormer enrolled in Medicare?

Yes. David Van Wormer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Van Wormer was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.