ANTHONY VITALI DMD NPI 1740218874
Dentist in Gallup, NM
About ANTHONY VITALI DMD
Anthony Vitali is a provider established in Gallup, New Mexico and his medical specialization is Dentist. The NPI number of this provider is 1740218874 and was assigned on June 2006. The practitioner's primary taxonomy code is 122300000X with license number DS028849L (PA). The provider is registered as an individual and his NPI record was last updated 15 years ago.
| NPI | 1740218874 |
| Provider Name | ANTHONY VITALI DMD |
| Location Address | 516 E. NIZHONI BLVD BOX 1337 GALLUP, NM 87301 |
| Location Phone | (505) 722-1000 |
| Mailing Address | 516 E. NIZHONI BLVD PO BOX 1337 GALLUP, NM 87301 |
| Gender | Male |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | No |
| Enumeration Date | 06-29-2006 |
| Last Update Date | 04-11-2008 |
A dentist like Anthony Vitali is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.Anthony Vitali is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA)..
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 122300000X |
| Classification | Dentist |
| Type | Dental Providers |
| License No. | DS028849L |
| License State | PA |
| Taxonomy Description | A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
516 E. NIZHONI BLVD
BOX 1337
GALLUP, NM
ZIP 87301
Phone: (505) 722-1000
Fax: (505) 722-1565
Mailing Address
516 E. NIZHONI BLVD
PO BOX 1337
GALLUP, NM
ZIP 87301
Phone: (505) 722-1000
Fax: (505) 722-1565
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | No |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 87301 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99203 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $56.4 | $173.32 | $87.31 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $14.1 | $43.33 | $21.82 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99213 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $17.1 | $141.02 | $70.8 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.27 | $35.25 | $17.7 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 000T4892 | MEDICAID (05) | NM |
| 440975 | MEDICAID (05) | AZ |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 4 | 0 | 2 | 1 | 8 | 8 | 7 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 8 | 0 | 4 | 1 | 16 | 8 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 8 + 0 + 4 + 1 + 1 + 6 + 8 + 1 + 4 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1740218874 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1366427650 | DR. GIENIA LYNCH MD Individual | Obstetrics & Gynecology | 516 E. NIZHONI BLVD GALLUP INDIAN MEDICAL CENTER GALLUP, NM 87301 (505) 722-1000 |
| 1366420747 | EILEEN BIUNNO MD Individual | Radiology (Diagnostic Radiology) | 516 E. NIZHONI BLVD GALLUP, NM 87301 (505) 722-1000 |
| 1376511485 | UMA D DUGGIRALA MD Individual | Family Medicine | 516 E. NIZHONI BLVD GALLUP INDIAN MEDICAL CENTER GALLUP, NM 87301 (505) 722-1000 |
| 1619910080 | EDWARD ROBLES MEDINA MD Individual | Anesthesiology | 516 E. NIZHONI BLVD GALLUP, NM 87301 (505) 722-1000 |
| 1740217793 | KEVIN DON GAINES MD Individual | Family Medicine | 516 E. NIZHONI BLVD GALLUP, NM 87301 (505) 722-1000 |
| 1902833973 | SEYED HESHMAT MORTAZAVI DMD Individual | Dentist | 516 E. NIZHONI BLVD GALLUP, NM 87301 (505) 722-1000 |
| 1063449577 | JOVITO G SABAL D.D.S Individual | Dentist | 516 E. NIZHONI BLVD BOX 1337 GALLUP, NM 87301 (505) 722-1000 |
| 1891723748 | STEVEN DEWAYNE FLORER DDS Individual | Dentist | 516 E. NIZHONI BLVD GALLUP, NM 87301 (505) 722-1000 |
| 1184653941 | JEANMAIRE RENE OFFNER M.D. Individual | Internal Medicine | 516 E. NIZHONI BLVD BOX 1337 GALLUP, NM 87301 (505) 722-1262 |
| 1023048840 | GERI A GOFFE CNM Individual | Registered Nurse | 516 E. NIZHONI BLVD BOX 1337 GALLUP, NM 87301 (505) 722-1000 |
| 1497785224 | BARBARA A SHEBALA CNP Individual | Nurse Practitioner | 516 E. NIZHONI BLVD BOX 1337 GALLUP, NM 87301 (505) 722-1000 |
| 1205867603 | GARY A ESCUDERO M.D. Individual | Pediatrics | 516 E. NIZHONI BLVD BOX 1337 GALLUP, NM 87301 (505) 722-1000 |
| 1629009998 | TERRANCE W SLOAN M.D. Individual | Internal Medicine | 516 E. NIZHONI BLVD BOX 1337 GALLUP, NM 87301 (505) 722-1000 |
| 1942230610 | BRIAN CULLIGAN O.D. Individual | Optometrist | 516 E. NIZHONI BLVD BOX 1337 GALLUP, NM 87301 (505) 722-1000 |
| 1902830037 | DEBORA J RUSSELL M.D. Individual | Obstetrics & Gynecology | 516 E. NIZHONI BLVD BOX 1337 GALLUP, NM 87301 (505) 722-1000 |
| 1528169950 | CHRISTINE CASTILLO RPH Individual | Pharmacist | 516 E. NIZHONI BLVD GALLUP, NM 87301 (505) 722-1185 |
| 1821136573 | DENISE A. NORMAN RPH Individual | Pharmacist | 516 E. NIZHONI BLVD GALLUP INDIAN MEDICAL CENTER (GIMC) GALLUP, NM 87301 (505) 722-1185 |
| 1205960044 | EDWARD T HUI MD Individual | Neurological Surgery | 516 E. NIZHONI BLVD GALLUP, NM 87301 (505) 722-1000 |
| 1003009945 | MRS. SANDRA L SKEETS RN Individual | Registered Nurse (Ambulatory Care) | 516 E. NIZHONI BLVD GALLUP, NM 87301 (505) 722-1000 |
| 1285803577 | MS. DEVON AURORA MCCABE RN Individual | Registered Nurse | 516 E. NIZHONI BLVD GALLUP, NM 87301 (505) 722-1000 |
Frequently Asked Questions
What is Anthony Vitali DMD NPI number?
The NPI number assigned to this healthcare provider is 1740218874, registered as an "individual" on June 29, 2006
Where is Anthony Vitali DMD located?
The provider is located at 516 E. Nizhoni Blvd Box 1337 Gallup, Nm 87301 and the phone number is (505) 722-1000
Which is Anthony Vitali DMD specialty?
The provider's speciality is Dentist
What insurance does Anthony Vitali DMD accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Anthony Vitali DMD registered in PECOS?
Yes, as of September 14, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
How much is a visit to Anthony Vitali DMD?
Medicare beneficiaries should expect a typical cost of $87.31 with an average copayment of $21.82 for new patient appointments. Established patients should expect a typical charge of $70.8 and an average copayment of 17.7. Please review your insurance plan or contact the provider directly to determine your specific costs.
How do I update my NPI information?
The NPI record of Anthony Vitali DMD was last updated on June 29, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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