NPIMap

Organization Active NPI

Affiliated Pediatric Dentistry

  • Point of Service
  • Scranton, PA
National Provider Identifier
1134477425
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
17699 Issued in PA
Legal business name
AFFILIATED PEDIATRIC DENTISTRY
Practice address
313 Mulberry St
Scranton, PA 18503-1221
Phone
(570) 346-7760
Fax
(570) 346-9002
NPI assigned
Aug 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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

Authorized official

Name
Mr. Ross M Wezmar, DDS PC
Title
Owner
Phone
(570) 346-7760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 17699 PA Primary

Addresses

Primary practice location

313 Mulberry St
Scranton, PA 18503-1221

Mailing address

313 Mulberry St
Scranton, PA 18503-1221
Phone (570) 346-7760

Other identifiers 8

IdentifierTypeStateIssuer
0005246180003OtherPAMEDICAL ASSISTANCE
1013232140003OtherPAMEDICAL ASSISTANCE
0005246180005OtherPAMEDICAL ASSISTANCE
1023077430004OtherPAMEDICAL ASSISTANCE
1024923650003OtherPAMEDICAL ASSISTANCE
1013232140005OtherPAMEDICAL ASSISTANCE
1024923650001OtherPAMEDICAL ASSISTANCE
1023077430001OtherPAMEDICAL ASSISTANCE

Other names 1

  • Ross M. Wezmar DDS PC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ross M Wezmar DDS PC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1345161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1134477425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 MULBERRY ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031221",
            "telephone_number": "570-346-7760",
            "fax_number": "570-346-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 MULBERRY ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031221",
            "telephone_number": "570-346-7760",
            "fax_number": "570-346-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-17",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "WEZMAR",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-346-7760",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS PC"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "PA",
            "license": "17699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "0005246180003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "1013232140003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "0005246180005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "1023077430004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "1024923650003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "1013232140005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "1024923650001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "1023077430001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ross M. Wezmar DDS PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 18, 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.