KENNETH PERRY VANTASSEL (NPI# 1225581481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225581481 |
| Entity Type | Individual |
| Full Name | KENNETH PERRY VANTASSEL |
| Practice Address |
1410 Woodfair Dr Richmond TX 77406-6609 |
| Practice Telephone | 5306513022 |
| Enumeration Date | 2016-07-24 |
| Last Update Date | 2016-07-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| Street Address |
1410 WOODFAIR DR |
| City | RICHMOND |
| State | TX |
| Zip Code | 77406-6609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971901 | Qs Dental Partners Pllc | Clinic/Center | 7109 Katy Gaston Road, Suite 400, Richmond, TX 77406 | 2020-10-27 |
| 1043832850 | Sanober Barolia | Nurse Practitioner | 1007 Parsnip Acres Ct, Richmond, TX 77406 | 2020-05-14 |
| 1164058988 | Breana Janson | Occupational Therapist | 802 Lemon Twist Lane, Richmond, TX 77406 | 2020-03-13 |
| 1770120669 | H-e-b, Lp | Clinical Medical Laboratory | 9211 Fm 723 Rd, Richmond, TX 77406 | 2019-12-10 |
| 1528627916 | Petite Smiles Pediatric Dentistry, Pllc | Dentist | 11131 Harlem Rd, Suite 120, Richmond, TX 77406 | 2019-06-10 |
| 1639633753 | Grand Eye Care, LLC | Optometrist | 4828 Waterview Town Center, Suite 300, Richmond, TX 77406 | 2019-01-23 |
| 1578033635 | Daryn Mccarter | Chiropractor | 9115 Fm 723 Rd, Suite 850, Richmond, TX 77406 | 2018-12-03 |
| 1194216143 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 26824 Fm 1093, Richmond, TX 77406 | 2018-05-25 |
| 1124516927 | Hoang Squared | Optometrist | 11020 Harlem Rd Ste 800, Richmond, TX 77406 | 2018-04-26 |
| 1851808000 | Highline Dental, Pllc | Clinic/Center | 11020 Harlem Rd, Richmond, TX 77406 | 2018-01-09 |
| Find all providers in zip 77406 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164779591 | Christian Thomsen | Military Health Care Provider | 2510 Camelback Road, Richmond, VA 23236 | 2012-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528430980 | Tomasz Orent | Military Health Care Provider | 26885 Manor Falls Dr, Kingwood, TX 77339-7709 | 2015-10-26 |
| 1518337013 | John Cantu | Military Health Care Provider | 3945 Tripoli Dr, Corpus Christi, TX 78415-3348 | 2015-09-28 |
| 1699144428 | Alberto Gonzalez | Military Health Care Provider | 102 Redrock Dr, San Antonio, TX 78213-4526 | 2015-09-22 |
| 1275938375 | Ricardo Jaramillo | Military Health Care Provider | 7016 Austrian Pine, Brownsville, TX 78526 | 2014-10-31 |
| 1942637087 | Matthew Alan Robichaux | Military Health Care Provider | 13500 White Tail Trl, Austin, TX 78736-7422 | 2013-10-03 |
| 1417223710 | Adam Anthony Garcia | Military Health Care Provider | 12080 Paseo De Amor Ln, El Paso, TX 79936-4499 | 2012-03-30 |
| 1124306329 | David G Morales Jr. | Military Health Care Provider | 9180 Tenango Dr, El Paso, TX 79907-3257 | 2011-07-22 |
| 1689970535 | Michael G. Phillips | Military Health Care Provider | 2621 Las Brisas St, Corpus Christi, TX 78414-5014 | 2011-02-09 |
| 1912208216 | Shepley Allen Reimer | Military Health Care Provider | 3555 Patch Rd, Fort Sam Houston, TX 78234-1200 | 2010-11-03 |
| 1750690400 | John Douglas Compton Jr. | Military Health Care Provider | 13506 Wood Terrace Dr, Houston, TX 77038-1533 | 2010-09-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.