EDWARD VANISKY DMD
NPI 1184609018
Oral & Maxillofacial Surgery in Burlington, MA

Active since December 14, 2005PECOS Enrolled
77 S BEDFORD ST, SUITE 100, BURLINGTON, MA 01803(781) 272-0800 Get Directions Write a Review

NPPES record last updated: May 9, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Edward Vanisky Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDWARD VANISKY DMD (NPI 1184609018) is an individual oral & maxillofacial surgery provider in Burlington, Massachusetts, licensed in Massachusetts (DN22199) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (1997).

NPPES Registry Identity

NPI1184609018
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameEDWARD VANISKYCredential: DMD
Location Address77 S BEDFORD ST, SUITE 100Burlington, MA 01803-5115
Mailing Address77 S Bedford St Ste 100Burlington, MA 01803-5154
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1997
Enumeration DateDecember 14, 2005
Last NPPES UpdateMay 9, 2019
NPI 1184609018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License Licensed in MA · DN22199
Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License DS030512L (PA), DN22199 (MA)
77 S BEDFORD ST, Burlington, MA 01803

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Edward Vanisky Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527114768
PECOS Enrollment IDI20120321000617
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Oral and Maxillofacial Surgery)
77 S BEDFORD ST, SUITE 100
BURLINGTON, MA 01803

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Vanisky's NPI number?

The NPI number for Edward Vanisky is 1184609018. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Where is Edward Vanisky located?

Edward Vanisky practices at 77 S Bedford St Suite 100, Burlington, MA 01803. The listed phone number is (781) 272-0800.

What is Edward Vanisky's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Edward Vanisky enrolled in Medicare?

Yes. Edward Vanisky is registered in the Medicare PECOS enrollment system.

What insurance does Edward Vanisky accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Edward Vanisky as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edward Vanisky was last updated on May 9, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.