Organization Active NPI

Jeffrey G. Carberry, DMD, PC

  • General Practice Dentistry
  • Somerset, PA
National Provider Identifier
1083108559
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JEFFREY G. CARBERRY, DMD, PC
Practice address
203 E. Patriot St.
Suite 200
Somerset, PA 15501
Phone
(814) 443-9000
Fax
(814) 444-6127
NPI assigned
Jun 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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

Authorized official

Name
Dr. Jeffrey G Carberry, DMDNPI 1275650137
Title
Owner
Phone
(814) 443-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

203 E. Patriot St.
Suite 200
Somerset, PA 15501

Mailing address

203 E. Patriot St.
Suite 200
Somerset, PA 15501
Phone (814) 443-9000

National Provider Directory

National Provider Directory

Locations

203 E Patriot St
Ste 200
Somerset, PA 15501
Phone (814) 443-9000

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": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529366400000",
    "number": "1083108559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 E. PATRIOT ST.",
            "address_2": "SUITE 200",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "15501",
            "telephone_number": "814-443-9000",
            "fax_number": "814-444-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E. PATRIOT ST.",
            "address_2": "SUITE 200",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "15501",
            "telephone_number": "814-443-9000",
            "fax_number": "814-444-6127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY G. CARBERRY, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-06-19",
        "status": "A",
        "authorized_official_last_name": "CARBERRY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-443-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.