JIM VAN DDS
NPI 1649796293
Dentist - General Practice in Saint Cloud, FL
About Jim Van Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JIM VAN DDS (NPI 1649796293) is an individual general practice provider in Saint Cloud, Florida, licensed in Florida (DN23005) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted 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)
Jim Van Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 34772 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT CLOUD, FL 34772
SAINT CLOUD, FL 34772
SAINT CLOUD, FL 34772
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 Jim Van's NPI number?
The NPI number for Jim Van is 1649796293. It was assigned to this individual provider in the NPPES registry on August 16, 2017.
Where is Jim Van located?
Jim Van practices at 2050 Old Hickory Tree Rd, Saint Cloud, FL 34772. The listed phone number is (407) 556-3696.
What is Jim Van's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Jim Van enrolled in Medicare?
Yes. Jim Van is registered in the Medicare PECOS enrollment system.
What insurance does Jim 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 12 other insurers list Jim 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 Jim Van was last updated on August 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Jim Van, DDS · NPI 1649796293
General Practice provider in Saint Cloud, Florida. Individual provider, active in the CMS NPPES registry since August 16, 2017.
## Identity
- **NPI:** 1649796293 (Entity type: Individual)
- **Enumerated:** August 16, 2017
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** DN23005 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 2050 OLD HICKORY TREE RD, Saint Cloud, FL 34772-8926
- **Phone:** (407) 556-3696
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** August 17, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1649796293) · Data from the CMS NPPES public registry.