NPIMap

Organization Active NPI

Mark B. Vecchio, D.D.S.

  • Dentist
  • Bridgeport, WV
National Provider Identifier
1447517180
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2779 Issued in WV
Legal business name
MARK B. VECCHIO, D.D.S.
Practice address
200 Orchard Ave
Bridgeport, WV 26330-1737
Phone
(304) 842-3577
Fax
(304) 842-3231
NPI assigned
Apr 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Authorized official

Name
Dr. Mark Brian Vecchio, D.D.S.NPI 1366558421
Title
Owerer
Phone
(304) 842-3577

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2779 WV Primary

Addresses

Primary practice location

200 Orchard Ave
Bridgeport, WV 26330-1737

Mailing address

200 Orchard Ave
Bridgeport, WV 26330-1737
Phone (304) 842-3577

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1447517180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ORCHARD AVE",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301737",
            "telephone_number": "304-842-3577",
            "fax_number": "304-842-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ORCHARD AVE",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301737",
            "telephone_number": "304-842-3577",
            "fax_number": "304-842-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK B. VECCHIO, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-19",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "VECCHIO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "OWERER",
        "authorized_official_telephone_number": "304-842-3577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WV",
            "license": "2779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.