Active NPI
Anthony V Dill
- Dentist
- Ebensburg, PA
National Provider Identifier
1912037359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS030409L
- Practice address
- 106 Park Street
Ebensburg, PA 15931-1854 - Phone
- (814) 472-5270
- Fax
- (814) 472-4618
- NPI assigned
- Mar 6, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DS030409L | PA | Primary |
Addresses
Primary practice location
106 Park Street
Ebensburg, PA 15931-1854
Mailing address
106 Park Street
Ebensburg, PA 15931-1854
Phone (814) 472-5270
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 |
|---|---|---|---|---|
| I20160226001232 | PA | Order and Referring Only - Other (Physician) | 9830494970 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eric V. Hicks, DMD, PC | Dentist | 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.
-
- Dentist
- Ebensburg, PA
- NPI 1720254295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912037359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 PARK STREET",
"city": "EBENSBURG",
"state": "PA",
"postal_code": "159311854",
"telephone_number": "814-472-5270",
"fax_number": "814-472-4618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 PARK STREET",
"city": "EBENSBURG",
"state": "PA",
"postal_code": "159311854",
"telephone_number": "814-472-5270",
"fax_number": "814-472-4618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILL",
"first_name": "ANTHONY",
"middle_name": "V",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS030409L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ebensburg, PA
- Megan Elizabeth Desalvo, DPT
- Jennifer Gonos Devinney, PHARMD.
- DFR Care Services LLC
- Leesa Dibartola, PT
- Lisa Diefenbach, PT
- DLP Conemaugh Physician Practices LLC (CHI Mastrine)
- DLP Conemaugh Physician Practices LLC (Conemaugh Physician Group - Ebensburg Primary Care)
- DLP Conemaugh Physician Practices LLC (Conemaugh Physician Practices - Ebensburg Primary Care)
- DLP Conemaugh Physician Practices LLC (Conemaugh Physician Group Ebensburg Industrial Park)
- DLP Conemaugh Physician Practices LLC
Sources for this page
- 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.