Rudy Emilio Marcelli, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DSO15921L Issued in PA

Practice address

1409 13TH St
Altoona, PA 16601-3409

Phone

(814) 944-6611

Fax

(814) 944-9570

NPI assigned

Mar 16, 2007

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

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 and National Provider Directory roles.

• Peter C. Pham, DDS, P.C.

  • General Practice Dentistry
  • Altoona, PA
  • NPI 1295031680
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831213008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 13TH ST",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166013409",
            "telephone_number": "814-944-6611",
            "fax_number": "814-944-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 13TH ST",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166013409",
            "telephone_number": "814-944-6611",
            "fax_number": "814-944-9570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCELLI",
        "first_name": "RUDY",
        "middle_name": "EMILIO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DSO15921L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony John Maniglia, M.D.
• Marcos A Manon, MD
• Ralph Michael Marasco, DMD
• Marcella Armstrong (Marcella's Boutique)
• Marcella's Boutique Inc
• Rudy James Marcelli, D.M.D.
• Alexandra Mardula
• Gregorio T. Mariano Jr., M.D.
• Allison Marinak
• Kelly G Markel, MS

• General Practice Dentistry in Altoona, PA
• Providers in Altoona, 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 8, 2007; 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.