Individual provider Active NPI

Pierre Paul Germain, DDS

  • Dentist
  • Scranton, PA
National Provider Identifier
1124164280
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS025865-L Issued in PA
Practice address
1821 Sanderson Ave
Scranton, PA 18509-1854
Phone
(570) 346-2244
Fax
(570) 346-2245
NPI assigned
Jan 29, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS025865-L PA Primary

Addresses

Primary practice location

1821 Sanderson Ave
Scranton, PA 18509-1854

Mailing address

1821 Sanderson Ave
Scranton, PA 18509-1854
Phone (570) 346-2244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS025865-LPAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Century Dental GR LLC PastSince Oct 29, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124164280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 SANDERSON AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185091854",
            "telephone_number": "570-346-2244",
            "fax_number": "570-346-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 SANDERSON AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185091854",
            "telephone_number": "570-346-2244",
            "fax_number": "570-346-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERMAIN",
        "first_name": "PIERRE",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS025865-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.