Organization Active NPI

Kevin Michael Showvaker DMD PC

  • Pediatric Dentistry
  • New Brighton, PA
National Provider Identifier
1114939279
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DS025430L Issued in PA
Legal business name
KEVIN MICHAEL SHOWVAKER DMD PC
Practice address
416 Constitution Blvd
Suite D
New Brighton, PA 15066
Phone
(724) 847-7692
Fax
(724) 847-8766
NPI assigned
Aug 13, 2006
Last updated
Mar 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Authorized official

Name
Dr. Kevin Michael Showvaker, DMDNPI 1619394996
Title
Owner
Phone
(724) 847-7692

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X DS025430L PA Primary

Addresses

Primary practice location

416 Constitution Blvd
Suite D
New Brighton, PA 15066

Mailing address

PO Box 18
New Brighton, PA 15066
Phone (724) 847-7692

National Provider Directory

National Provider Directory

Locations

416 Constitution Blvd
Ste D
New Brighton, PA 15066
Phone (724) 847-7692

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": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1114939279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18",
            "city": "NEW BRIGHTON",
            "state": "PA",
            "postal_code": "15066",
            "telephone_number": "724-847-7692",
            "fax_number": "724-847-8766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 CONSTITUTION BLVD",
            "address_2": "SUITE D",
            "city": "NEW BRIGHTON",
            "state": "PA",
            "postal_code": "15066",
            "telephone_number": "724-847-7692",
            "fax_number": "724-847-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN MICHAEL SHOWVAKER DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "SHOWVAKER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-847-7692",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS025430L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brighton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.