DR. BRYAN JOEL VANOVEN DDS
NPI 1720290174
Dentist - Oral and Maxillofacial Surgery in Libertyville, IL

Q: What is Bryan Vanoven's NPI number?

The NPI number for Bryan Vanoven is 1720290174. It was assigned to this individual provider in the NPPES registry on May 5, 2007.

Q: What is Bryan Vanoven's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: Is Bryan Vanoven enrolled in Medicare?

No. Bryan Vanoven has opted out of Medicare through May 24, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Bryan Vanoven was last updated on November 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 May 05, 2007Opted out of Medicare · through May 24, 2028

1236 AMERICAN WAY, LIBERTYVILLE, IL 60048(847) 367-8656(847) 557-1361 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Bryan Joel Vanoven Dds NPPES

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

DR. BRYAN JOEL VANOVEN DDS (NPI 1720290174) is an individual oral and maxillofacial surgery provider in Libertyville, Illinois, licensed in Illinois (021002313) and active in the NPI registry since May 2007. He has opted out of Medicare through May 24, 2028.

NPPES Registry Identity

NPI1720290174

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. BRYAN JOEL VANOVENCredential: DDS

Location Address1236 AMERICAN WAYLibertyville, IL 60048-3936

Mailing Address1236 American WayLibertyville, IL 60048-3936 · (847) 367-8656

Phone(847) 367-8656

Fax(847) 557-1361

Sole ProprietorNo

Enumeration DateMay 5, 2007

Last NPPES UpdateNovember 7, 2023

NPPES CertifiedNovember 7, 2023

✔ NPI 1720290174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in IL · 021002313

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedDentistTaxonomy 122300000X · License 5681 (OK)

1236 AMERICAN WAY, Libertyville, IL 60048

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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 ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Bryan Joel Vanoven Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 24, 2022 through May 24, 2028.

Opt-Out Effective DateMay 24, 2022

Opt-Out In Effect ThroughMay 24, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

MICHAEL FEURSTEIN DMD

Dentist (Dentist Anesthesiologist)

1236 AMERICAN WAY
LIBERTYVILLE, IL 60048

Lake County (262) 455-0016

LIBERTYVILLE ORAL SURGERY PC

Dentist (Oral and Maxillofacial Surgery)

1236 AMERICAN WAY
LIBERTYVILLE, IL 60048

Lake County (847) 367-8656

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 Bryan Vanoven's NPI number?

The NPI number for Bryan Vanoven is 1720290174. It was assigned to this individual provider in the NPPES registry on May 5, 2007.

Where is Bryan Vanoven located?

Bryan Vanoven practices at 1236 American Way, Libertyville, IL 60048. The listed phone number is (847) 367-8656.

What is Bryan Vanoven's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Bryan Vanoven enrolled in Medicare?

No. Bryan Vanoven has opted out of Medicare through May 24, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Bryan Vanoven 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 Bryan Vanoven 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 Bryan Vanoven was last updated on November 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.