Active NPI
Johnny Joseph, DMD
- Pediatric Dentistry
- Chambersburg, PA
National Provider Identifier
1124521828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DS042651
- Practice address
- 111 Chambers Hill Dr Ste 202
Chambersburg, PA 17201-7304 - Phone
- (717) 709-7941
- NPI assigned
- Mar 9, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS042651 | PA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Dentistry | 1223P0221X | DS042651 | PA | Primary |
Addresses
Primary practice location
111 Chambers Hill Dr Ste 202
Chambersburg, PA 17201-7304
Mailing address
767 5TH Ave Ste B3-a
Chambersburg, PA 17201-4207
Phone (717) 709-7940
Other practice location 1
767 5th Ave Ste B3-A
Chambersburg, PA 17201-4207
Phone (717) 709-7940
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
| License | State | Type | Specialty |
|---|---|---|---|
| DS042651 | PA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597276800000",
"number": "1124521828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "767 5TH AVE STE B3-A",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172014207",
"telephone_number": "717-709-7940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 CHAMBERS HILL DR STE 202",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172017304",
"telephone_number": "717-709-7941"
}
],
"practiceLocations": [
{
"address_1": "767 5th Ave Ste B3-A",
"address_purpose": "LOCATION",
"city": "Chambersburg",
"state": "PA",
"postal_code": "172014207",
"country_code": "US",
"telephone_number": "717-709-7940",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOSEPH",
"first_name": "JOHNNY",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-09",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS042651",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "PA",
"license": "DS042651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chambersburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.