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DR. DONALD VAN DDS
NPI 1114367471
Dentist in Jacksonville, FL

Active since July 02, 2013PECOS Enrolled
1036-42 DUNN AVE, JACKSONVILLE, FL 32218(954) 790-2091 Get Directions Write a Review

NPPES record last updated: July 11, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Donald Van Dds NPPES

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

DR. DONALD VAN DDS (NPI 1114367471) is an individual dentist in Jacksonville, Florida, licensed in Florida (DN20242) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114367471
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. DONALD VANCredential: DDS
Location Address1036-42 DUNN AVEJacksonville, FL 32218-6359
Mailing Address2325 Sw 185th AveMiramar, FL 33029-5904 · (954) 790-2091
Phone(954) 790-2091
Sole ProprietorNo
Enumeration DateJuly 2, 2013
Last NPPES UpdateJuly 11, 2013
✔ NPI 1114367471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · DN20242
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.
1036-42 DUNN AVE, Jacksonville, FL 32218
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Donald Van Dds 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 32218 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRYCE E. GABLER DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
1036-42 DUNN AVE
JACKSONVILLE, FL 32218
Duval County (904) 714-9909
DIANA N. KINYUA DMD
Dentist (General Practice)
1036-42 DUNN AVE
JACKSONVILLE, FL 32218
Duval County (904) 714-9909
DEREK R. ESPINO DMD
Dentist (General Practice)
1036-42 DUNN AVE
JACKSONVILLE, FL 32218
Duval County (904) 714-9909
DERRICK L MITCHELL DDS
Dentist (General Practice)
1036-42 DUNN AVE
JACKSONVILLE, FL 32218
Duval County (904) 714-9909
DR. JOSHUA J ESTES DMD
Dentist (General Practice)
1036-42 DUNN AVE
JACKSONVILLE, FL 32218
Duval County (904) 714-9909

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 Donald Van's NPI number?

The NPI number for Donald Van is 1114367471. It was assigned to this individual provider in the NPPES registry on July 2, 2013.

Where is Donald Van located?

Donald Van practices at 1036-42 Dunn Ave, Jacksonville, FL 32218. The listed phone number is (954) 790-2091.

What is Donald Van's specialty?

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

Is Donald Van enrolled in Medicare?

Yes. Donald Van is registered in the Medicare PECOS enrollment system.

What insurance does Donald Van accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Montana and 13 other insurers list Donald Van as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Donald Van was last updated on July 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.