Active NPI
Valley Oral Surgeon, LTD.
- Oral and Maxillofacial Surgery (Dentist)
- Johnstown, PA
National Provider Identifier
1922043322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DS028079L
- Legal business name
- VALLEY ORAL SURGEON, LTD.
- Practice address
- 20 Osborne St
Johnstown, PA 15905-4128 - Phone
- (814) 536-4675
- Fax
- (814) 536-8897
- NPI assigned
- Jun 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael L.. Delrosario, D.D.S.
- Title
- Owner
- Phone
- (814) 536-4675
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DS028079L | PA | Primary |
Addresses
Primary practice location
20 Osborne St
Johnstown, PA 15905-4128
Mailing address
20 Osborne St
Johnstown, PA 15905-4128
Phone (814) 536-4675
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102928 | Other | PA | UPMC PIN |
| VA112926 | Other | PA | HIGHMARK GROUP PRACTICE |
National Provider Directory
National Provider DirectoryLocations
20 Osborne St
Johnstown, PA 15905
Phone (814) 535-8551
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Johnstown, PA
- NPI 1184667412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1922043322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 OSBORNE ST",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159054128",
"telephone_number": "814-536-4675",
"fax_number": "814-536-8897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 OSBORNE ST",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159054128",
"telephone_number": "814-536-4675",
"fax_number": "814-536-8897"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY ORAL SURGEON, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DELROSARIO",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "L..",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "814-536-4675",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "PA",
"license": "DS028079L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC PIN",
"identifier": "102928",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK GROUP PRACTICE",
"identifier": "VA112926",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.