Richard Paul Vidunas Jr., DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25211 Issued in PA

Practice address

313 Market St
Mifflinburg, PA 17844-1309

Phone

(570) 699-1511

Fax

(570) 699-1906

NPI assigned

Oct 18, 2006

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

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• R. Paul Vidunas Jr. DMD, PC

  • General Practice Dentistry
  • Mifflinburg, PA
  • NPI 1194350850
  NPD (past) Authorized official
• David E. Vitunac D.M.D., P.C.

  • General Practice Dentistry
  • Mifflinburg, PA
  • NPI 1841801198
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043391006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 MARKET ST",
            "city": "MIFFLINBURG",
            "state": "PA",
            "postal_code": "178441309",
            "telephone_number": "570-699-1511",
            "fax_number": "570-699-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 MARKET ST",
            "city": "MIFFLINBURG",
            "state": "PA",
            "postal_code": "178441309",
            "telephone_number": "570-699-1511",
            "fax_number": "570-699-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDUNAS",
        "first_name": "RICHARD",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "25211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah Ellen Tanner, MD
• Through the Mill Counseling, Inc.
• Terry A Trutt, R. PH.
• Trutt'S Pharmacy LLC
• Trutt'S Pharmacy LLC
• David Edward Vitunac, DMD
• Barbra J Wagner, D.M.D.
• Weis Markets Inc
• Wellspan Medical Group
• West Branch Endodontics LLC

• General Practice Dentistry in Mifflinburg, PA
• Providers in Mifflinburg, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.