Active NPI
Anthony L. Monteleone II, DMD
- General Practice Dentistry
- Glenshaw, PA
National Provider Identifier
1629025937
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Oct 20, 2013.
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS024810
- Practice address
- 1724 Mount Royal Blvd
Glenshaw, PA 15116-2115 - Phone
- (412) 213-1999
- Fax
- (412) 213-6985
- NPI assigned
- May 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS024810 | PA | Primary |
Addresses
Primary practice location
1724 Mount Royal Blvd
Glenshaw, PA 15116-2115
Mailing address
926 Great Pond Dr
Suite 2003
Altamonte Springs, FL 32714-7244
Phone (407) 772-5124
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0018952450003 | Medicaid | PA | |
| 0018952450005 | Medicaid | PA | |
| 0018952450011 | Medicaid | PA | |
| 0018952450002 | Medicaid | PA | |
| 0018952450010 | Medicaid | PA | |
| 0018952450013 | Medicaid | PA | |
| 0018952450014 | Medicaid | PA | |
| 0018952450004 | Medicaid | PA | |
| 0018952450009 | Medicaid | PA | |
| 0018952450012 | Medicaid | PA | |
| 0018952450007 | Medicaid | PA | |
| 0018952450008 | Medicaid | PA | |
| 0018952450006 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS024810 | PA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1629025937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "926 GREAT POND DR",
"address_2": "SUITE 2003",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327147244",
"telephone_number": "407-772-5124",
"fax_number": "407-788-3572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1724 MOUNT ROYAL BLVD",
"city": "GLENSHAW",
"state": "PA",
"postal_code": "151162115",
"telephone_number": "412-213-1999",
"fax_number": "412-213-6985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTELEONE",
"first_name": "ANTHONY",
"middle_name": "L.",
"name_suffix": "II",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-30",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS024810",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018952450003",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018952450005",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018952450011",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018952450002",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018952450010",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018952450013",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018952450014",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018952450004",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018952450009",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018952450012",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018952450007",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018952450008",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018952450006",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glenshaw, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.