NPIMap

Organization Active NPI

Dr Anthony Vizzinia, DMD PC

  • General Practice Dentistry
  • Fort Payne, AL
National Provider Identifier
1942535075
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4267 Issued in AL
Legal business name
DR ANTHONY VIZZINIA, DMD PC
Practice address
302 4TH St SW
Ft. Payne, AL 35967-1840
Phone
(256) 845-7300
Fax
(256) 845-7392
NPI assigned
Oct 7, 2009
Last updated
Jul 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Anthony Vizzinia, DMDNPI 1932290756
Title
Owner
Phone
(256) 845-7300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4267 AL Primary

Addresses

Primary practice location

302 4TH St SW
Ft. Payne, AL 35967-1840

Mailing address

302 4TH St SW
Ft. Payne, AL 35967-1840
Phone (256) 845-7300

Other identifiers 1

IdentifierTypeStateIssuer
529911680MedicaidAL

National Provider Directory

National Provider Directory
Tax ID family
Dr Anthony Vizzinia DMD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562112000000",
    "number": "1942535075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 4TH ST SW",
            "city": "FT. 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": "FT. PAYNE",
            "state": "AL",
            "postal_code": "359671840",
            "telephone_number": "256-845-7300",
            "fax_number": "256-845-7392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ANTHONY VIZZINIA, DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-07",
        "last_updated": "2019-07-03",
        "status": "A",
        "authorized_official_last_name": "VIZZINIA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-845-7300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529911680",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Payne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.