Individual provider Active NPI

George Carey Viertl, DDS

  • General Practice Dentistry
  • Salisbury, MD
National Provider Identifier
1306067715
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13159 Issued in MD
Practice address
560 Riverside Dr
Suite B-206
Salisbury, MD 21801-4700
Phone
(410) 742-0166
NPI assigned
May 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 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 13159 MD Primary

Addresses

Primary practice location

560 Riverside Dr
Suite B-206
Salisbury, MD 21801-4700

Mailing address

202 Holland Ave
Salisbury, MD 21804-4428
Phone (410) 341-7410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160225001597 MD Order and Referring Only - DentistPractitioner - Dentist 1456656628

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1306067715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 HOLLAND AVE",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218044428",
            "telephone_number": "410-341-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 RIVERSIDE DR",
            "address_2": "SUITE B-206",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218014700",
            "telephone_number": "410-742-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIERTL",
        "first_name": "GEORGE",
        "middle_name": "CAREY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.