Individual provider Active NPI

Anna B Visger, DDS

  • General Practice Dentistry
  • Mentor, OH
National Provider Identifier
1710032347
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
300-20210 Issued in OH
Practice address
7553 Center St
Mentor, OH 44060-6001
Phone
(440) 255-2600
Fax
(440) 255-0162
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 300-20210 OH Primary

Addresses

Primary practice location

7553 Center St
Mentor, OH 44060-6001

Mailing address

7553 Center St
Mentor, OH 44060-6001
Phone (440) 255-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140912002017 OH Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8224257829

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
300-20210OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Greiner, Visger Dental Associates, Inc General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710032347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7553 CENTER ST",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606001",
            "telephone_number": "440-255-2600",
            "fax_number": "440-255-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7553 CENTER ST",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606001",
            "telephone_number": "440-255-2600",
            "fax_number": "440-255-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISGER",
        "first_name": "ANNA",
        "middle_name": "B",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "300-20210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

Verify at the official NPI Registry.