Individual provider Active NPI

Louis A Vermillion, DDS

  • General Practice Dentistry
  • Summit Hill, PA
National Provider Identifier
1245407212
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18297 Issued in PA
Practice address
39 W Ludlow St
Summit Hill, PA 18250-1141
Phone
(570) 645-2044
Fax
(570) 645-9660
NPI assigned
May 9, 2008
Last updated
May 14, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 18297 PA Primary

Addresses

Primary practice location

39 W Ludlow St
Summit Hill, PA 18250-1141

Mailing address

39 W Ludlow St
Summit Hill, PA 18250-1141
Phone (570) 645-2044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

124 W Front St
Suite 1
Findlay, OH 45840-3471

212 Springbrook Dr
Findlay, OH 45840-4231

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18297PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Vermillion Dental Office PC General Practice Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1245407212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 W LUDLOW ST",
            "city": "SUMMIT HILL",
            "state": "PA",
            "postal_code": "182501141",
            "telephone_number": "570-645-2044",
            "fax_number": "570-645-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 W LUDLOW ST",
            "city": "SUMMIT HILL",
            "state": "PA",
            "postal_code": "182501141",
            "telephone_number": "570-645-2044",
            "fax_number": "570-645-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMILLION",
        "first_name": "LOUIS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "18297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.