Active NPI
Charles R Venneri, DMD
- Dentist
- Uniontown, PA
National Provider Identifier
1285645473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS022954L
- Practice address
- 110 Daniel Dr.
Suite 3
Uniontown, PA 15401 - Phone
- (724) 437-0937
- Fax
- (724) 437-1708
- NPI assigned
- Aug 11, 2006
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DS022954L | PA | Primary |
Addresses
Primary practice location
110 Daniel Dr.
Suite 3
Uniontown, PA 15401
Mailing address
110 Daniel Dr.
Suite 3
Uniontown, PA 15401
Phone (724) 437-0937
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009110770003 | Medicaid | PA | |
| 66726 | Other | PA | UNISON |
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 |
|---|---|---|---|
| DS022954L | PA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles R. Venneri, D.M.D. | Dentist | Past | Accepting new patients |
| Brandi Howard-Stickel & Associates, DDS, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Uniontown, PA
- NPI 1487880647
-
- General Practice Dentistry
- Uniontown, PA
- NPI 1013323906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1285645473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 DANIEL DR.",
"address_2": "SUITE 3",
"city": "UNIONTOWN",
"state": "PA",
"postal_code": "15401",
"telephone_number": "724-437-0937",
"fax_number": "724-437-1708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 DANIEL DR.",
"address_2": "SUITE 3",
"city": "UNIONTOWN",
"state": "PA",
"postal_code": "15401",
"telephone_number": "724-437-0937",
"fax_number": "724-437-1708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENNERI",
"first_name": "CHARLES",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS022954L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009110770003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON",
"identifier": "66726",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Uniontown, 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.