Lisa Frances Veselovsky, D.M.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

16809 Issued in MD

Practice address

Amanda Gallagher Orthodontics
9650 Belair Rd
Nottingham, MD 21236

Phone

(410) 877-7716

NPI assigned

Jul 13, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Smile Forever Dentistry

  • Dental Clinic/Center
  • Owings Mills, MD
  • NPI 1487030276
  NPD (past)
• Montefiore Dental Department

  • Dentist
  • Bronx, NY
  • NPI 1588867055
  NPD (past)

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1316399413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 ALICEANNA ST APT 1005",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212312880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AMANDA GALLAGHER ORTHODONTICS",
            "address_2": "9650 BELAIR RD",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "21236",
            "telephone_number": "410-877-7716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3332 Rochambeau Ave",
            "address_2": "2nd Floor",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104672836",
            "country_code": "US",
            "telephone_number": "718-920-5997",
            "fax_number": "718-515-5419",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Smile Forever Dentistry",
            "address_2": "8890 McDonogh Rd, Unit 315",
            "address_purpose": "LOCATION",
            "city": "Owings Mills",
            "state": "MD",
            "postal_code": "21117",
            "country_code": "US",
            "telephone_number": "410-484-1010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VESELOVSKY",
        "first_name": "LISA",
        "middle_name": "FRANCES",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-13",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MD",
            "license": "16809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Marie Vaca, DPT
• Rodrigo Vallar, D.D.S.
• Siga Vaskys, CRNP
• Courtney Marie Vaughan, LCSW-C
• Smita N Vazarkar, MD
• Tina M Vest, PMHNP-BC
• Danaan Emmanuel Villena, PT
• Michael David Wah, PT
• Wal-Mart Stores East LP (Walmart Pharmacy 10-2045)
• Wal-Mart Stores East, LP (Vision Center 30-2045)

• Orthodontics and Dentofacial Orthopedics Dentistry in Nottingham, MD
• Providers in Nottingham, MD by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.