NPIMap

Organization Active NPI

St. Joseph Regional Health Network

Doing business as St. Joseph Dental

  • General Practice Dentistry
  • Reading, PA
National Provider Identifier
1073675161
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ST. JOSEPH REGIONAL HEALTH NETWORK
Doing business as
St. Joseph Dental
Practice address
145 N 6TH St
Reading, PA 19601-3501
Phone
(610) 378-2560
Fax
(610) 378-2579
NPI assigned
Dec 14, 2006
Last updated
Dec 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Authorized official

Name
Edward Chabalowski
Title
V.P. Finance & Cfo
Phone
(610) 378-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

145 N 6TH St
Reading, PA 19601-3501

Mailing address

PO Box 316
Reading, PA 19603-0316

Other identifiers 1

IdentifierTypeStateIssuer
0012591200001MedicaidPA

Other names 1

  • ST. JOSEPH DENTAL Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Joseph Regional Health6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640131200000",
    "number": "1073675161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 316",
            "city": "READING",
            "state": "PA",
            "postal_code": "196030316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 N 6TH ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "196013501",
            "telephone_number": "610-378-2560",
            "fax_number": "610-378-2579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH REGIONAL HEALTH NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A",
        "authorized_official_last_name": "CHABALOWSKI",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "V.P. FINANCE & CFO",
        "authorized_official_telephone_number": "610-378-2300"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012591200001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST. JOSEPH DENTAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ST. JOSEPH DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.