Jeffrey F. Mazzarella, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS039127 Issued in PA

Practice address

225 Walker Rd
Chambersburg, PA 17201-3503

Phone

(717) 264-2011

NPI assigned

Apr 10, 2013

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 28, 2021 through Jul 28, 2027

Medicare enrollment (NPD)

Not 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.

• Chambersburg Dental Associates LTD

  • General Practice Dentistry
  • Chambersburg, PA
  • NPI 1548297856
  NPD (past)

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365552000000",
    "number": "1104269059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 WALKER RD",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172013503",
            "telephone_number": "717-264-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 WALKER RD",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172013503",
            "telephone_number": "717-264-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZARELLA",
        "first_name": "JEFFREY",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-10",
        "last_updated": "2013-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS039127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrani Mattis, OTRL
• Keyur Mavani, M.D.
• Kayla Mayes, ND, RN
• Laurie W Maynard, PT
• Mark Allen Maynard, PT
• Jamie Wainman Mazzone, OTR
• Catherine Marie McAfee, CRNP
• Melissa McAlexander, DPM
• Katelyn McAnlis, SLP
• Charles T McBeth, PA-C

• General Practice Dentistry in Chambersburg, PA
• Providers in Chambersburg, 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 Apr 10, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.