Andrew V. Sardella, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DS029464L Issued in PA

Practice address

1810 E Lincoln Hwy
Coatesville, PA 19320-2408

Phone

(610) 383-4100

Fax

(610) 383-6256

NPI assigned

Mar 19, 2013

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Renny S Sardella OD PC

  • Optometrist
  • Coatesville, PA
  • NPI 1861389256
  NPD (past)

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363651200000",
    "number": "1952643827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 E LINCOLN HWY",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193202408",
            "telephone_number": "610-383-4100",
            "fax_number": "610-383-6256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 E LINCOLN HWY",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193202408",
            "telephone_number": "610-383-4100",
            "fax_number": "610-383-6256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARDELLA",
        "first_name": "ANDREW",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-19",
        "last_updated": "2013-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS029464L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE #",
            "identifier": "DS029464L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer S Salada
• Samara House
• Fatoumata Binta Samoura, RN
• Joshua Sanchez
• Peter A. Sands, PA-C
• John Vincent Sardella, D.D.S.
• Kara Patricia Sardella, DMD
• Renny S Sardella, OD
• Laura Michelle Sarmento, R.D.
• Nicole Sassi

• Dentist in Coatesville, PA
• Providers in Coatesville, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.