NI VAN DMD
NPI 1568991040
Dentist - General Practice in Flossmoor, IL

Q: What is Ni Van's NPI number?

The NPI number for Ni Van is 1568991040. It was assigned to this individual provider in the NPPES registry on June 8, 2017.

Q: What is Ni Van's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ni Van was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 08, 2017

19815 GOVERNORS HWY STE 7, FLOSSMOOR, IL 60422(708) 794-4253 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 14, 2017 and 1 more (4 updates tracked since 2017).

On this page

About Ni Van Dmd NPPES

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

NI VAN DMD (NPI 1568991040) is an individual general practice provider in Flossmoor, Illinois, licensed in Illinois (019031163) and active in the NPI registry since June 2017. She maintains a secondary practice location in Burbank.

NPPES Registry Identity

NPI1568991040

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameNI VANCredential: DMD

Location Address19815 GOVERNORS HWY STE 7Flossmoor, IL 60422-4388

Mailing Address19815 Governors Hwy Ste 7Flossmoor, IL 60422-4388 · (708) 794-4253

Phone(708) 794-4253

Sole ProprietorNo

Enumeration DateJune 8, 2017

Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration

✔ NPI 1568991040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IL · 019031163

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.

19815 GOVERNORS HWY STE 7, Flossmoor, IL 60422

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Secondary Practice Location 1

Location 18535 Menard AveBurbank, IL 60459-2660 · Phone (773) 627-0300

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

PAUL ANAST DENTAL PLLC

Dentist (General Practice)

19815 GOVERNORS HWY STE 7
FLOSSMOOR, IL 60422

Cook County (708) 799-7800

DR. MIRETTE BOUSHRA DMD

Dentist

19815 GOVERNORS HWY STE 7
FLOSSMOOR, IL 60422

Cook County (708) 794-4253

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 Ni Van's NPI number?

The NPI number for Ni Van is 1568991040. It was assigned to this individual provider in the NPPES registry on June 8, 2017.

Where is Ni Van located?

Ni Van practices at 19815 Governors Hwy Ste 7, Flossmoor, IL 60422. The listed phone number is (708) 794-4253.

What is Ni Van's specialty?

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

What insurance does Ni Van accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Ni 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 Ni Van was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.