Edp of Pennsylvania, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

EDP OF PENNSYLVANIA, PC

Practice address

7546 State Route 30
Irwin, PA 15642-7528

Phone

(800) 312-1279

NPI assigned

Apr 1, 2019

Organization subpart

Yes

Parent organization

EDP OF PENNSYLVANIA, PCAs reported in NPPES

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

Authorized official

Name

Mrs. Tanya Miller

Title

Managing Director

Phone

(913) 951-9644

Specialties & licenses 1

Addresses

Other names 1

• The Dentistry of Irwin Doing business as

Part of

Edp of Pennsylvania PC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Edp of Pennsylvania PC

  • Dental Clinic/Center
  • Johnstown, PA
  • NPI 1366958407
  NPPES parent name

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554076800000",
    "number": "1124580188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7546 STATE ROUTE 30",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156427528",
            "telephone_number": "312-800-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7546 STATE ROUTE 30",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156427528",
            "telephone_number": "800-312-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDP OF PENNSYLVANIA, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EDP OF PENNSYLVANIA, PC",
        "enumeration_date": "2019-04-01",
        "last_updated": "2019-04-01",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "913-951-9644",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Dentistry of Irwin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Greg Echard
• Heidi Echevarria
• Miranda Lee Ecker
• Eckerd Corporation
• Nicole Eckman
• Andrea Edwards
• Megan Edwards
• Bethany Elliott
• Kaitlyn Emile
• Emilio Villegas, M.D.

• Dental Clinic/Center in Irwin, PA
• Providers in Irwin, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.