Ronald Anthony Vitullo, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-022225 Issued in OH

Practice address

3140 Dayton Xenia Rd Unit D
Beavercreek, OH 45434-6396

Phone

(937) 426-2253

Fax

(937) 797-0677

NPI assigned

Oct 19, 2006

Sex

Male

Sole proprietor

No

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 OH

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

State licenses

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.

• Ronald a. Vitullo, DDS, LLC

  • General Practice Dentistry
  • Beavercreek, OH
  • NPI 1114009594
  NPD (past) Authorized official

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1356423735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 DAYTON XENIA RD UNIT D",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454346396",
            "telephone_number": "937-426-2253",
            "fax_number": "937-797-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 DAYTON XENIA RD UNIT D",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454346396",
            "telephone_number": "937-426-2253",
            "fax_number": "937-797-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITULLO",
        "first_name": "RONALD",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-022225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Vinson, D.C.
• Nicole Viola
• Vision Service Corporation
• Vision Value
• Visualeyes, Inc.
• Alim Vivanco
• Greggory Scott Volk, D.O.
• Kevin Volt, M.D.
• Hans William Vonniederhausern
• Peter Waisala, DPT

• General Practice Dentistry in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.