Active NPI
Stephanie R. Varljen, D.D.S., PH.D.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Hollidaysburg, PA
National Provider Identifier
1447377619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DS035329-L
- Practice address
- 712 S Logan Blvd
Hollidaysburg, PA 16648-3032 - Phone
- (814) 946-1950
- Fax
- (814) 946-5725
- NPI assigned
- Mar 23, 2007
- Last updated
- Dec 20, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DS035329-L | PA | Primary |
Addresses
Primary practice location
712 S Logan Blvd
Hollidaysburg, PA 16648-3032
Mailing address
712 Logan Blvd
Hollidaysburg, PA 16648-3015
Phone (814) 946-1950
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427192 | Other | PA | UCCI PIN |
| 12957648687 | Other | PA | GROUP NPI# |
| 000563403 | Other | PA | UCCI GRP PIN |
Other names 1
- Stephanie R. Toms
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181219003513 | PA | Order and Referring Only - Dentist | 9133464159 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS035329-L | PA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dentasl Care Associates, Inc. | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
| 42 North Dental Care LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Dental Care Associates, Hollidaysburg
- Dental Clinic/Center
- Hollidaysburg, PA
- NPI 1659023422
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Hollidaysburg, PA
- NPI 1295764868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545264000000",
"number": "1447377619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 LOGAN BLVD",
"city": "HOLLIDAYSBURG",
"state": "PA",
"postal_code": "166483015",
"telephone_number": "814-946-1950",
"fax_number": "814-946-5725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 S LOGAN BLVD",
"city": "HOLLIDAYSBURG",
"state": "PA",
"postal_code": "166483032",
"telephone_number": "814-946-1950",
"fax_number": "814-946-5725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARLJEN",
"first_name": "STEPHANIE",
"middle_name": "R.",
"credential": "D.D.S., PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2018-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "PA",
"license": "DS035329-L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCCI PIN",
"identifier": "1427192",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI#",
"identifier": "12957648687",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCCI GRP PIN",
"identifier": "000563403",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "TOMS",
"middle_name": "R.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hollidaysburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; 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.