Dominic Vitangeli

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.021675 Issued in OH

Practice address

320 Union Blvd
Englewood, OH 45322-2115

Phone

(937) 836-3565

NPI assigned

Dec 14, 2006

Last updated

May 10, 2021By the provider in NPPES

Sex

Male

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

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1912069287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 UNION BLVD",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453222115",
            "telephone_number": "937-836-3565",
            "fax_number": "937-836-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 UNION BLVD",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453222115",
            "telephone_number": "937-836-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITANGELI",
        "first_name": "DOMINIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2021-05-10",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.021675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Tyree
• Charles Joseph Uhl, CNP
• Kiana Ullmer, RPH
• Usd Dayton, Inc. (Dayton Medical Imaging Englewood)
• Desiree Vance
• Louis J Vitangeli, DDS
• Meghan Vo, H.A.S.
• Wal-Mart Stores East LP (Walmart Pharmacy 10-5409)
• Walgreen Co (Walgreens #12832)
• Ryan Wallerius

• General Practice Dentistry in Englewood, OH
• Providers in Englewood, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.

Verify at the official NPI Registry.