Anthony Victor Valaitis, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.018378 Issued in OH

Practice address

4212 State Route 306
Suite 308
Willoughby, OH 44094-9248

Phone

(440) 946-2726

Fax

(440) 946-8163

NPI assigned

Jan 19, 2011

Last updated

Jan 25, 2011By the provider in NPPES

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": "1295395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295913600000",
    "number": "1144525379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 STATE ROUTE 306",
            "address_2": "SUITE 308",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440949248",
            "telephone_number": "440-946-2726",
            "fax_number": "440-946-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 STATE ROUTE 306",
            "address_2": "SUITE 308",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440949248",
            "telephone_number": "440-946-2726",
            "fax_number": "440-946-8163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALAITIS",
        "first_name": "ANTHONY",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-19",
        "last_updated": "2011-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.018378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Willoughby, OH
• Providers in Willoughby, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.