Individual provider Active NPI

Vincent Paul Votilla, DMD

  • Dentist
  • Lancaster, PA
National Provider Identifier
1104064476
Registry record updated Jan 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS025516L Issued in PA
Practice address
620 Delp Rd
Lancaster, PA 17601-3035
Phone
(717) 569-3911
NPI assigned
Jan 26, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS025516L PA Primary

Addresses

Primary practice location

620 Delp Rd
Lancaster, PA 17601-3035

Mailing address

620 Delp Rd
Lancaster, PA 17601-3035
Phone (717) 569-3911

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151228000340 PA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8628379302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS025516LPAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Patterson Votilla Dentistry for Life PC Dentist PastSince Oct 10, 2007 Accepting new patients
JTH Dental Inc. PastSince Jun 12, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232928000000",
    "number": "1104064476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 DELP RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176013035",
            "telephone_number": "717-569-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 DELP RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176013035",
            "telephone_number": "717-569-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOTILLA",
        "first_name": "VINCENT",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-26",
        "last_updated": "2009-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS025516L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.