Individual provider Active NPI

Regina Vayner, D.M.D.

  • Periodontics
  • Jenkintown, PA
National Provider Identifier
1811423213
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DS041469 Issued in PA
Practice address
509 York Rd
Jenkintown, PA 19046-2102
Phone
(215) 635-0465
NPI assigned
May 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DS041469 PA Primary

Addresses

Primary practice location

509 York Rd
Jenkintown, PA 19046-2102

Mailing address

509 York Rd
Jenkintown, PA 19046-2102
Phone (215) 635-0465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20170812000006 PA Order and Referring Only - DentistPractitioner - Dentist 2365713112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1811423213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 YORK RD",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462102",
            "telephone_number": "215-635-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 YORK RD",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462102",
            "telephone_number": "215-635-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAYNER",
        "first_name": "REGINA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-04",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS041469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenkintown, PA

Sources for this page

Verify at the official NPI Registry.