Jeffrey J Santanello, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401411462 Issued in VA

Practice address

1700 Horizon Drive
Suite 101
Chalfont, PA 18914-3950

Phone

(215) 997-0740

Fax

(215) 997-0743

NPI assigned

Jan 2, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1023175924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 HORIZON DRIVE",
            "address_2": "SUITE 101",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189143950",
            "telephone_number": "215-997-0740",
            "fax_number": "215-997-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 HORIZON DRIVE",
            "address_2": "SUITE 101",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189143950",
            "telephone_number": "215-997-0740",
            "fax_number": "215-997-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANELLO",
        "first_name": "JEFFREY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9183642",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Chalfont, PA
• Providers in Chalfont, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.