DR. CODY DUC VAN
NPI 1295628659
Dentist - General Practice in Broken Arrow, OK

Active since June 02, 2025
1950 W KENOSHA ST, BROKEN ARROW, OK 74012(918) 518-1526 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Cody Duc Van NPPES

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

DR. CODY DUC VAN (NPI 1295628659) is an individual general practice provider in Broken Arrow, Oklahoma, licensed in Oklahoma (8055) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1295628659
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CODY DUC VAN
Location Address1950 W KENOSHA STBroken Arrow, OK 74012-8944
Mailing Address2219 E 11th St Unit 204Tulsa, OK 74104-3641 · (316) 680-9288
Sole ProprietorYes
Enumeration DateJune 2, 2025
NPPES CertifiedJune 2, 2025
NPI 1295628659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in OK · 8055
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1950 W KENOSHA ST, Broken Arrow, OK 74012

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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.

Dentist (General Practice)
1950 W KENOSHA ST
BROKEN ARROW, OK 74012
Dentist
1950 W KENOSHA ST
BROKEN ARROW, OK 74012
Dentist (General Practice)
1950 W KENOSHA ST
BROKEN ARROW, OK 74012
Dentist (General Practice)
1950 W KENOSHA ST
BROKEN ARROW, OK 74012
Dentist
1950 W KENOSHA ST
BROKEN ARROW, OK 74012

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 Cody Van's NPI number?

The NPI number for Cody Van is 1295628659. It was assigned to this individual provider in the NPPES registry on June 2, 2025.

Where is Cody Van located?

Cody Van practices at 1950 W Kenosha St, Broken Arrow, OK 74012. The listed phone number is (918) 518-1526.

What is Cody Van's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Cody Van accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 12 other insurers list Cody 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 Cody Van was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.