Anthony Pio Vitarelli, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

54929 Issued in CA

Practice address

2075 Forest Ave Ste 6
San Jose, CA 95128-4812

Phone

(408) 287-3892

Fax

(408) 293-7765

NPI assigned

Jul 26, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476144000000",
    "number": "1487844577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 FOREST AVE STE 6",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284812",
            "telephone_number": "408-287-3892",
            "fax_number": "408-293-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 FOREST AVE STE 6",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284812",
            "telephone_number": "408-287-3892",
            "fax_number": "408-293-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITARELLI",
        "first_name": "ANTHONY",
        "middle_name": "PIO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2016-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen M Vital
• Elanna Vital, OTD
• Thomas Sitchon Vital
• Rosa Maria Vitale
• Vitality Chiropractic, Inc.
• Gia Vitarelli, LCSW
• Gerardo Guzman Vitela
• Bailey V Sudindra Vittal, MD
• Harsha Vittal, MD
• Katherine Laura Vivanco

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.