Organization Active NPI

Venneri Dental Group PC

  • Dentist
  • Hatboro, PA
National Provider Identifier
1669577987
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS026858L Issued in PA
Legal business name
VENNERI DENTAL GROUP PC
Practice address
3040 E County LN Rd
Hatboro, PA 19040
Phone
(215) 675-4090
Fax
(215) 675-9059
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Rosanna M Venneri
Title
Secretary of Corp
Phone
(215) 675-4090

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DS013110L PA
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DS025876L PA
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DS026858L PA Primary

Addresses

Primary practice location

3040 E County LN Rd
Hatboro, PA 19040

Mailing address

3040 E County LN Rd
Hatboro, PA 19040
Phone (215) 675-4090

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669577987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 E COUNTY LN RD",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "19040",
            "telephone_number": "215-675-4090",
            "fax_number": "215-675-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 E COUNTY LN RD",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "19040",
            "telephone_number": "215-675-4090",
            "fax_number": "215-675-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENNERI DENTAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VENNERI",
        "authorized_official_first_name": "ROSANNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SECRETARY OF CORP",
        "authorized_official_telephone_number": "215-675-4090",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS013110L",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS025876L",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS026858L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hatboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.