Active NPI
Kristen Vitellaro Scholl, D.M.D.
- General Practice Dentistry
- Yardley, PA
National Provider Identifier
1881908150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS038422
- Practice address
- 680 Heacock Rd
Suite 102
Yardley, PA 19067 - Phone
- (215) 493-4021
- Fax
- (215) 321-4621
- NPI assigned
- Jul 29, 2010
- Last updated
- Dec 1, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS038422 | PA | Primary |
Addresses
Primary practice location
680 Heacock Rd
Suite 102
Yardley, PA 19067
Mailing address
680 Heacock Rd
Suite 102
Yardley, PA 19067
Phone (215) 493-4021
Other names 1
- Miss Kristen Marie Vitellaro
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150330000752 | PA | Order and Referring Only - Dentist | 3476870536 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bucks County Smiles, Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512086400000",
"number": "1881908150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 HEACOCK RD",
"address_2": "SUITE 102",
"city": "YARDLEY",
"state": "PA",
"postal_code": "19067",
"telephone_number": "215-493-4021",
"fax_number": "215-321-4621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 HEACOCK RD",
"address_2": "SUITE 102",
"city": "YARDLEY",
"state": "PA",
"postal_code": "19067",
"telephone_number": "215-493-4021",
"fax_number": "215-321-4621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOLL",
"first_name": "KRISTEN",
"middle_name": "VITELLARO",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-29",
"last_updated": "2017-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS038422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "VITELLARO",
"middle_name": "MARIE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Yardley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; 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.