Organization Active NPI

Jack D. Steele, D.M.D., Family Dentistry, L.L.C.

  • Dentist
  • McConnellsburg, PA
National Provider Identifier
1003436924
Registry record updated Jan 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JACK D. STEELE, D.M.D., FAMILY DENTISTRY, L.L.C.
Practice address
501 E Poplar St
MC Connellsburg, PA 17233-1151
Phone
(717) 485-3015
Fax
(717) 485-3096
NPI assigned
Apr 21, 2020
Last updated
Jan 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2025

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

Authorized official

Name
Dr. Jack D Steele, D.M.D.NPI 1811905771
Title
Dentist/Owner
Phone
(717) 485-3015

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
Dentist 122300000X NU Primary

Addresses

Primary practice location

501 E Poplar St
MC Connellsburg, PA 17233-1151

Mailing address

501 E Poplar St
MC Connellsburg, PA 17233-1151
Phone (717) 485-3015

Other practice location 1

20344 School Rd
Dry Run, PA 17220
Phone (717) 349-2600

Other identifiers 3

IdentifierTypeStateIssuer
1037711320001MedicaidPA
0018617750006MedicaidPA
0018617750004MedicaidPA

National Provider Directory

National Provider Directory

Locations

501 E Poplar St
Mc Connellsburg, PA 17233
Phone (717) 485-3015

Practitioners & affiliated clinicians

Practitioners 1

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": "1587427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736553600000",
    "number": "1003436924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E POPLAR ST",
            "city": "MC CONNELLSBURG",
            "state": "PA",
            "postal_code": "172331151",
            "telephone_number": "717-485-3015",
            "fax_number": "717-485-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E POPLAR ST",
            "city": "MC CONNELLSBURG",
            "state": "PA",
            "postal_code": "172331151",
            "telephone_number": "717-485-3015",
            "fax_number": "717-485-3096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20344 School Rd",
            "address_purpose": "LOCATION",
            "city": "Dry Run",
            "state": "PA",
            "postal_code": "17220",
            "country_code": "US",
            "telephone_number": "717-349-2600",
            "fax_number": "717-349-7235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JACK D. STEELE, D.M.D., FAMILY DENTISTRY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-21",
        "last_updated": "2025-01-11",
        "certification_date": "2025-01-11",
        "status": "A",
        "authorized_official_last_name": "STEELE",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "717-485-3015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1037711320001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018617750006",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018617750004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McConnellsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2025; 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.