Active NPI
John L. Lignelli, D.D.S.
- Oral and Maxillofacial Surgery (Dentist)
- Pottstown, PA
National Provider Identifier
1184628786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DS-018039L
- Practice address
- 1630 E High St
BLDG 4
Pottstown, PA 19464-3244 - Phone
- (610) 326-7880
- Fax
- (610) 326-5491
- NPI assigned
- Jun 10, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DS-018039L | PA | Primary |
Addresses
Primary practice location
1630 E High St
BLDG 4
Pottstown, PA 19464-3244
Mailing address
1630 E High St
BLDG 4
Pottstown, PA 19464-3244
Phone (610) 326-7880
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4100943 | Other | PA | AETNA COMMERCIAL PLANS |
| LI160525 | Other | PA | HIGHMARK |
| 1183294-007 | Other | PA | CIGNA |
| 03208701 | Other | PA | CAPITAL BLUE CROSS |
| 0048330000 | Other | PA | KEYSTONE HEALTH PLAN EAST |
| 0017855 | Other | PA | AETNA HMO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS-018039L | PA | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Galletto, McCarthy and Associates, PLLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Pottstown, PA
- NPI 1639885858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1184628786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1630 E HIGH ST",
"address_2": "BLDG 4",
"city": "POTTSTOWN",
"state": "PA",
"postal_code": "194643244",
"telephone_number": "610-326-7880",
"fax_number": "610-326-5491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1630 E HIGH ST",
"address_2": "BLDG 4",
"city": "POTTSTOWN",
"state": "PA",
"postal_code": "194643244",
"telephone_number": "610-326-7880",
"fax_number": "610-326-5491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIGNELLI",
"first_name": "JOHN",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-10",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "PA",
"license": "DS-018039L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA COMMERCIAL PLANS",
"identifier": "4100943",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "LI160525",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1183294-007",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "03208701",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTH PLAN EAST",
"identifier": "0048330000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "0017855",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pottstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.