Individual provider Active NPI

Valerie S. Deibler, D.D.S.

  • General Practice Dentistry
  • Wyomissing, PA
National Provider Identifier
1013006501
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS028240L Issued in PA
Practice address
2001 State Hill Rd
Suite 202
Wyomissing, PA 19610-1607
Phone
(610) 375-1381
Fax
(610) 375-4605
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS028240L PA Primary

Addresses

Primary practice location

2001 State Hill Rd
Suite 202
Wyomissing, PA 19610-1607

Mailing address

2001 State Hill Rd
Suite 202
Wyomissing, PA 19610-1607
Phone (610) 375-1381

Other identifiers 1

IdentifierTypeStateIssuer
742085OtherPAUNITED CONCORDIA/ BLUE SH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS028240LPAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013006501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 STATE HILL RD",
            "address_2": "SUITE 202",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101607",
            "telephone_number": "610-375-1381",
            "fax_number": "610-375-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 STATE HILL RD",
            "address_2": "SUITE 202",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101607",
            "telephone_number": "610-375-1381",
            "fax_number": "610-375-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEIBLER",
        "first_name": "VALERIE",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS028240L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA/ BLUE SH",
            "identifier": "742085",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.