Melanie Vadnal, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

019.026869 Issued in IL

Practice address

2246 S State Route 157 Ste 125
Glen Carbon, IL 62034-1728

Phone

(618) 288-6262

NPI assigned

Jul 21, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rodney L Bailey, DMD, PC

  • Dentist
  • Glen Carbon, IL
  • NPI 1801042718
  NPD (past)

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338768000000",
    "number": "1548425432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2246 S. ROUTE 157 SUITE 125",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "62034",
            "telephone_number": "618-288-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2246 S STATE ROUTE 157 STE 125",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620341728",
            "telephone_number": "618-288-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VADNAL",
        "first_name": "MELANIE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-21",
        "last_updated": "2012-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2005024765",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.026869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aylah Shadora Trice
• Jessica Ulrich
• Andrew C Unfried, D.C.
• Uptown Emergency Physicians, LLP
• Manita Grover Utreja, DMD
• Laura Ann Valley, MSW, LCSW, CTMH
• Michelle Vermaux, PT
• Stefanie Vesper, APRN
• Jadeyn Skye Viola, RBT
• Teresa Ann Visintine, LCSW

• Dentist in Glen Carbon, IL
• Providers in Glen Carbon, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.