Vanessa Paula Kachulis, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS041381 Issued in PA

Practice address

340 Franklin St
Slippery Rock, PA 16057-1164

Phone

(724) 794-2000

NPI assigned

Jul 5, 2017

Last updated

Jul 5, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• David L Gordley DDS LLC

  • Dentist
  • Slippery Rock, PA
  • NPI 1134399835
  NPD (past)
• Tower Anesthesia and Pain Solutions, Inc

  • Pain Medicine (Anesthesiology) Physician
  • Sharon, PA
  • NPI 1326119058
  NPD (past)

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499212800000",
    "number": "1760903355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 PIN OAK DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152376355",
            "telephone_number": "412-977-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 FRANKLIN ST",
            "city": "SLIPPERY ROCK",
            "state": "PA",
            "postal_code": "160571164",
            "telephone_number": "724-794-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACHULIS",
        "first_name": "VANESSA",
        "middle_name": "PAULA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-05",
        "last_updated": "2017-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS041381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andy Kim Huynh
• Japan Maple Health
• Amber Jones
• Samantha Leigh Jones
• Joshua W Click Dba Click Chiropractic
• Kimberly Jean Keeley, ATC
• Keystone Rehabilitation Systems Inc (Keystone Physical Therapy)
• Gregory C Kingston, ED.D., CSCS, ACSM-EP
• Laura Catherine Kleemook, LPC
• Elizabeth McGee Klixbull, PMHNP, FNP

• General Practice Dentistry in Slippery Rock, PA
• Providers in Slippery Rock, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2017; 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.