Organization Active NPI

Willliam H Payne DDS and Kevin DDS Dental Associates

  • General Practice Dentistry
  • Red Lion, PA
National Provider Identifier
1023162583
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS018151L Issued in PA
Legal business name
WILLLIAM H PAYNE DDS AND KEVIN DDS DENTAL ASSOCIATES
Practice address
411 S Main St
Red Lion, PA 17356-2412
Phone
(717) 246-1085
Fax
(717) 246-4472
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William H Payne, DDS
Title
General Partner
Phone
(717) 246-1085

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DS018151L PA Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DS024024L PA

Addresses

Primary practice location

411 S Main St
Red Lion, PA 17356-2412

Mailing address

411 S Main St
Red Lion, PA 17356-2412
Phone (717) 246-1085

National Provider Directory

National Provider Directory

Locations

411 S Main St
Red Lion, PA 17356
Phone (717) 244-2345

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023162583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 S MAIN ST",
            "city": "RED LION",
            "state": "PA",
            "postal_code": "173562412",
            "telephone_number": "717-246-1085",
            "fax_number": "717-246-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 S MAIN ST",
            "city": "RED LION",
            "state": "PA",
            "postal_code": "173562412",
            "telephone_number": "717-246-1085",
            "fax_number": "717-246-4472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLLIAM H PAYNE DDS AND KEVIN DDS DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "717-246-1085",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS018151L",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS024024L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Lion, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.