Pleasant Valley Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DX001624 Issued in PA

Legal business name

PLEASANT VALLEY DENTAL

Practice address

305 Cayuga Ave
Altoona, PA 16602-4323

Phone

(814) 944-0607

Fax

(814) 944-0587

NPI assigned

Jan 24, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rudy James Marcelli, D.M.D.NPI 1043365810

Title

Presdident

Phone

(814) 944-0607

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rudy James Marcelli, D.M.D.

  • General Practice Dentistry
  • Altoona, PA
  • NPI 1043365810
  NPD (past) Authorized official
• Maria Garcia Lopez, DDS

  • Dentist
  • Hollidaysburg, PA
  • NPI 1871909184
  NPD (past)
• Axelle Lourdes Wiegering, D.M.D.

  • General Practice Dentistry
  • Altoona, PA
  • NPI 1548315336
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306991005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 CAYUGA AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166024323",
            "telephone_number": "814-944-0607",
            "fax_number": "814-944-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 CAYUGA AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166024323",
            "telephone_number": "814-944-0607",
            "fax_number": "814-944-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT VALLEY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARCELLI",
        "authorized_official_first_name": "RUDY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESDIDENT",
        "authorized_official_telephone_number": "814-944-0607",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DX001624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pinecroft Medical Center
• Gifford Piper, O.D.
• Katrina Pipetti
• Heather Pisczek
• Pittsburgh Critical Care Associates, Inc
• Jamie Plowman, NP
• Kylie Plummer, PA-C
• Thomas Lee Plummer
• Paul Jason Pochak, PHARM.D
• Stephanie Podelco

• General Practice Dentistry in Altoona, PA
• Providers in Altoona, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.