Individual provider Active NPI

Timothy Joseph Armanini, D.D.S.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Erie, PA
National Provider Identifier
1467428276
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
DS024531L Issued in PA
Practice address
4600 Zuck Rd
Erie, PA 16506-4932
Phone
(814) 838-2144
Fax
(814) 838-7227
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS024531L PA
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X DS024531L PA Primary

Addresses

Primary practice location

4600 Zuck Rd
Erie, PA 16506-4932

Mailing address

4600 Zuck Rd
Erie, PA 16506-4932
Phone (814) 838-2144

Other identifiers 1

IdentifierTypeStateIssuer
DS024531LOtherPASTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ArmaniniKolodychakBasileLLP.TimothyArmanini@148326.advancedmd-direct.com

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
I20031125000873 PA Practitioner - Oral Surgery 7517861065 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS024531LPAMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Armanini, Kolodychak, & Basile, L.L.P. Oral & Maxillofacial Surgery CurrentSince Oct 7, 2002 Accepting new patients

Locations

4600 Zuck Rd
Erie, PA 16506
Phone (814) 838-2144

Interoperability endpoints

  • Direct secure messaging: armaninikolodychakbasilellp.timothyarmanini@148326.advancedmd-direct.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1467428276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 ZUCK RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165064932",
            "telephone_number": "814-838-2144",
            "fax_number": "814-838-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 ZUCK RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165064932",
            "telephone_number": "814-838-2144",
            "fax_number": "814-838-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMANINI",
        "first_name": "TIMOTHY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS024531L",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "PA",
            "license": "DS024531L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DS024531L",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ArmaniniKolodychakBasileLLP.TimothyArmanini@148326.advancedmd-direct.com",
            "affiliation": "N",
            "address_1": "4600 Zuck Rd",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165064932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.