Michael Wayne Vandello, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS-09008 Issued in IA

Practice address

5532 Joshua St
Bettendorf, IA 52722-1152

Phone

(563) 320-3348

NPI assigned

Jul 2, 2013

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372723200000",
    "number": "1114367273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5532 JOSHUA ST",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221152",
            "telephone_number": "563-320-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5532 JOSHUA ST",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221152",
            "telephone_number": "563-320-3348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDELLO",
        "first_name": "MICHAEL",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-02",
        "last_updated": "2013-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "DDS-09008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlena Urbain, MSW
• Joseph Charles Urbaitis, O.D.
• Gordon B Urbi, MD
• Brett Austin Vacek
• Duane Arlyn Van Nieuwenhuyzen, D.D.S.
• Laurel A. Vanklaveren, LHMC, LCPC
• Lauren Vanspeybroeck, MS, CF-SLP
• Vascular & Thoracic Assoc. LTD.
• Vascular Surgery Associates
• Sowmya Veerapaneni, APN

• General Practice Dentistry in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; 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.