Active NPI
Jack D. Steele, D.M.D., Family Dentistry, L.L.C.
- Dentist
- McConnellsburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1037711320001 | Medicaid | PA | |
| 0018617750006 | Medicaid | PA | |
| 0018617750004 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- McConnellsburg, PA
- NPI 1811905771
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.