Active NPI
Andrew H Vendelis, DDS
- General Practice Dentistry
- Cockeysville, MD
National Provider Identifier
1316954464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4388
- Practice address
- 9727 Greenside Dr
101
Cockeysville, MD 21030-5030 - Phone
- (410) 628-0086
- Fax
- (410) 628-0086
- NPI assigned
- Aug 2, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4388 | MD | Primary |
Addresses
Primary practice location
9727 Greenside Dr
101
Cockeysville, MD 21030-5030
Mailing address
9727 Greenside Dr
101
Cockeysville, MD 21030-5030
Phone (410) 628-0086
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 |
|---|---|---|---|
| 4388 | MD | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316954464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9727 GREENSIDE DR",
"address_2": "101",
"city": "COCKEYSVILLE",
"state": "MD",
"postal_code": "210305030",
"telephone_number": "410-628-0086",
"fax_number": "410-628-0086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9727 GREENSIDE DR",
"address_2": "101",
"city": "COCKEYSVILLE",
"state": "MD",
"postal_code": "210305030",
"telephone_number": "410-628-0086",
"fax_number": "410-628-0086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENDELIS",
"first_name": "ANDREW",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "4388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cockeysville, MD
- Jillian Turlington, PA-C
- United Radiology Services, LLC
- University of Maryland Medical Regional Professional Services, LLC (Towson Sports Medicine)
- Lauren Vaszil, LCPC, LCADC
- Anastasia Vendelis, D.D.S.
- Vernon F. Ottenritter, Jr. D.D.S., PA.
- Mary Viggiani, LCSW-C
- Visionworks Inc. (Visionworks)
- John Vuong, DMD
- Wal-Mart Stores East LP (Walmart Pharmacy 10-2577)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.