NPIMap

Organization Active NPI

Charles R. Venneri, D.M.D.

  • Dentist
  • Uniontown, PA
National Provider Identifier
1487880647
Registry record updated Jun 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS022954L Issued in PA
Legal business name
CHARLES R. VENNERI, D.M.D.
Practice address
110 Daniel Dr
Suite 3
Uniontown, PA 15401-8002
Phone
(724) 437-0937
Fax
(724) 437-1708
NPI assigned
Jun 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2009

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

Authorized official

Name
Charles R Venneri, D.M.D.NPI 1285645473
Title
Owner
Phone
(724) 437-0937

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: 193200000X MULTI-SPECIALTY GROUP 122300000X DS022954L PA Primary

Addresses

Primary practice location

110 Daniel Dr
Suite 3
Uniontown, PA 15401-8002

Mailing address

110 Daniel Dr
Suite 3
Uniontown, PA 15401-8002
Phone (724) 437-0937

Other identifiers 3

IdentifierTypeStateIssuer
0009110770003MedicaidPA
66726OtherPAUNISON
9199065OtherPAUPMC/DORAL

National Provider Directory

National Provider Directory

Locations

110 Daniel Dr
Ste 3
Uniontown, PA 15401
Phone (724) 437-0937

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": "1243900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243900800000",
    "number": "1487880647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 DANIEL DR",
            "address_2": "SUITE 3",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154018002",
            "telephone_number": "724-437-0937",
            "fax_number": "724-437-1708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 DANIEL DR",
            "address_2": "SUITE 3",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154018002",
            "telephone_number": "724-437-0937",
            "fax_number": "724-437-1708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES R. VENNERI, D.M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-02",
        "last_updated": "2009-06-02",
        "status": "A",
        "authorized_official_last_name": "VENNERI",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-437-0937",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS022954L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009110770003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "66726",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC/DORAL",
            "identifier": "9199065",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; 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.