Individual provider Active NPI

Stephanie R. Varljen, D.D.S., PH.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hollidaysburg, PA
National Provider Identifier
1447377619
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DS035329-L Issued in PA
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, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1427192OtherPAUCCI PIN
12957648687OtherPAGROUP NPI#
000563403OtherPAUCCI GRP PIN

Other names 1

  • Stephanie R. Toms Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181219003513 PA Order and Referring Only - DentistPractitioner - Dentist 9133464159

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
DS035329-LPAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dentasl Care Associates, Inc. Orthodontics and Dentofacial Orthopedics Past Accepting new patients
42 North Dental Care LLC PastSince Feb 1, 2022 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.

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

Verify at the official NPI Registry.