Anastasia Vendelis, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12109 Issued in MD

Practice address

9727 Greenside Dr
Cockeysville, MD 21030-5030

Phone

(410) 628-0086

Fax

(410) 628-0086

NPI assigned

Aug 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Anastasia Vendelis-Klima Other name

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184631350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9727 GREENSIDE DR",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210305030",
            "telephone_number": "410-628-0086",
            "fax_number": "410-628-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9727 GREENSIDE DR",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210305030",
            "telephone_number": "410-628-0086",
            "fax_number": "410-628-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENDELIS",
        "first_name": "ANASTASIA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "12109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANASTASIA",
            "last_name": "VENDELIS-KLIMA",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Erin Tumlinson, MA, CCC-SLP
• Jillian Turlington, PA-C
• United Radiology Services, LLC
• University of Maryland Medical Regional Professional Services, LLC
• Lauren Vaszil, LCPC, LCADC
• Andrew H Vendelis, DDS
• Vernon F. Ottenritter, Jr. D.D.S., PA.
• Mary Viggiani, LCSW-C
• Visionworks Inc.
• John Vuong, DMD

• General Practice Dentistry in Cockeysville, MD
• Providers in Cockeysville, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.