Active NPI
Ysidora Torrealba
- Prosthodontics
- Columbus, OH
National Provider Identifier
1235323627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 71-000199
- Practice address
- 305 W 12TH Ave
Stanley G. Vermilyea, DMD, Ms, Dental Faculty Practice
Columbus, OH 43210 - Phone
- (614) 292-1472
- NPI assigned
- Aug 29, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 71-000199 | OH | Primary |
Addresses
Primary practice location
305 W 12TH Ave
Stanley G. Vermilyea, DMD, Ms, Dental Faculty Practice
Columbus, OH 43210
Mailing address
1591 Royal Gold Dr
Columbus, OH 43240-4001
Phone (614) 247-4688
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71-000199 | OH | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188345600000",
"number": "1235323627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1591 ROYAL GOLD DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432404001",
"telephone_number": "614-247-4688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 W 12TH AVE",
"address_2": "STANLEY G. VERMILYEA, DMD, MS, DENTAL FACULTY PRACTICE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43210",
"telephone_number": "614-292-1472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORREALBA",
"first_name": "YSIDORA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-29",
"last_updated": "2007-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "OH",
"license": "71-000199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.