Mark Roger Vermillion, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18554 Issued in OH

Practice address

5925 N Main St
Suite B
Dayton, OH 45415-3153

Phone

(937) 275-2211

Fax

(937) 275-4408

NPI assigned

Jan 1, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730246869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5925 N MAIN ST",
            "address_2": "SUITE B",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454153153",
            "telephone_number": "937-275-2211",
            "fax_number": "937-275-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5925 N MAIN ST",
            "address_2": "SUITE B",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454153153",
            "telephone_number": "937-275-2211",
            "fax_number": "937-275-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMILLION",
        "first_name": "MARK",
        "middle_name": "ROGER",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "18554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chakyra Verdine
• Michael Peter Verdon, DO
• Bikram Verma Ansil, MD
• Shannon Michelle Novosad Verma, M.D.
• Nicole Amy Vermeer, CRNA
• Elizabeth Verplank, MA, LAT, ATC
• Sabrina Verstraten
• Amy M Vervalin, LPN
• Verzatile Life
• Shania Vestal

• General Practice Dentistry in Dayton, OH
• Providers in Dayton, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.