Mark N Vanella, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS026730L Issued in PA

Practice address

415 E 4TH Ave
Tarentum, PA 15084-1847

Phone

(724) 226-2808

Fax

(724) 226-1619

NPI assigned

Apr 16, 2008

Last updated

Apr 16, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1316111875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E 4TH AVE",
            "city": "TARENTUM",
            "state": "PA",
            "postal_code": "150841847",
            "telephone_number": "724-226-2808",
            "fax_number": "724-226-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E 4TH AVE",
            "city": "TARENTUM",
            "state": "PA",
            "postal_code": "150841847",
            "telephone_number": "724-226-2808",
            "fax_number": "724-226-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANELLA",
        "first_name": "MARK",
        "middle_name": "N",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS026730L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan C Thompson, LCSW
• Tony J Albertelli
• Melissa Anne Truesdell, RPH
• Jalaluddin Umar, MD
• Usha Sivakumar MD LLC
• Emily Grace Vincenzi, MOT, OTR/L
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-3838)
• Wal-Mart Stores East, LP (Vision Center 30-3838)
• Pearl Ann Marie Walch
• Heather Waters

• General Practice Dentistry in Tarentum, PA
• Providers in Tarentum, 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 Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.