Innovative Dental of Carlisle; Cumberland Valley Dental Care-Carlisle

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

INNOVATIVE DENTAL OF CARLISLE; CUMBERLAND VALLEY DENTAL CARE-CARLISLE

Practice address

559 S Hanover St
Carlisle, PA 17013-3919

Phone

(717) 245-0808

NPI assigned

Aug 3, 2026

Organization subpart

No

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

Authorized official

Name

Kathleen L Peiffer

Title

Office Manager

Phone

(717) 263-3123

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Michael Bourdon, DDS

  • Dentist
  • Carlisle, PA
  • NPI 1912046061
  NPD (past)

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

{
    "created_epoch": "1785715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1083537302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 S HANOVER ST",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170133919",
            "telephone_number": "717-245-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 S HANOVER ST",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170133919",
            "telephone_number": "717-245-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE DENTAL OF CARLISLE; CUMBERLAND VALLEY DENTAL CARE-CARLISLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-03",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "PEIFFER",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "717-263-3123"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas C Imholte, BA
• Impressive Hands Homecare LLC
• Ambreen Bano Imran
• Inclusive Transportation
• Infinity and Beyond Service Coordination
• Integrity Hearing Solutions, Inc.
• Inter States Nemt
• Iron Haven Gym & Chiropractic
• Kathryn Irwin, LPC
• Mohammad Khawar Ismail, MD

• General Practice Dentistry in Carlisle, PA
• Providers in Carlisle, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.