Anthony Michael Vizzinia, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4267 Issued in AL

Practice address

302 4TH St SW
Fort Payne, AL 35967-1840

Phone

(256) 845-7300

Fax

(256) 845-7392

NPI assigned

Sep 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Enrolled in AL

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr Anthony Vizzinia, DMD PC

  • General Practice Dentistry
  • Fort Payne, AL
  • NPI 1942535075
  NPD (past) Authorized official
• Anthony M Vizzinia

  • Dentist
  • Fort Payne, AL
  • NPI 1336708999
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932290756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 4TH ST SW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359671840",
            "telephone_number": "256-845-7300",
            "fax_number": "256-845-7392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 4TH ST SW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359671840",
            "telephone_number": "256-845-7300",
            "fax_number": "256-845-7392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIZZINIA",
        "first_name": "ANTHONY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tommy Dewayne Trotman, NP
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• Valley Head Clinic LLC
• Vision Behavioral Health Services
• Angela Marie Wade, ALC
• Ida Rose Wadsworth, LPC
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-0691)
• Wal-Mart Stores East, LP (Vision Center 30-0691)
• Walgreen Co (Walgreens #10523)

• General Practice Dentistry in Fort Payne, AL
• Providers in Fort Payne, AL by specialty
• General Practice Dentistry in Alabama

• 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.

Verify at the official NPI Registry.