NPIMap

Organization Active NPI

Ephrata Family Dentistry LLC

  • Dentist
  • Ephrata, PA
National Provider Identifier
1124322326
Registry record updated Jan 2, 2011
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Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS027756L Issued in PA
Legal business name
EPHRATA FAMILY DENTISTRY LLC
Practice address
815 Martin Ave
Ephrata, PA 17522-1642
Phone
(717) 733-7971
Fax
(717) 738-4162
NPI assigned
Jan 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2011

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

Authorized official

Name
Dr. John William Dever, DMD
Title
President
Phone
(717) 733-7971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DS027756L PA Primary

Addresses

Primary practice location

815 Martin Ave
Ephrata, PA 17522-1642

Mailing address

815 Martin Ave
Ephrata, PA 17522-1642
Phone (717) 733-7971

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1293926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293926400000",
    "number": "1124322326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 MARTIN AVE",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221642",
            "telephone_number": "717-733-7971",
            "fax_number": "717-738-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 MARTIN AVE",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221642",
            "telephone_number": "717-733-7971",
            "fax_number": "717-738-4162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPHRATA FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-02",
        "last_updated": "2011-01-02",
        "status": "A",
        "authorized_official_last_name": "DEVER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-733-7971",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS027756L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ephrata, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2011; 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.