NPIMap

Organization Active NPI

Strasburg Dental Group

  • Dentist
  • Strasburg, PA
National Provider Identifier
1154437242
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS 15379 Issued in PA
Legal business name
STRASBURG DENTAL GROUP
Practice address
222 N Decantur Street
Strasburg, PA 17579
Phone
(717) 687-6061
Fax
(717) 687-3720
NPI assigned
Aug 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jeffrey L Putt, DDSNPI 1366694168
Title
Dentist
Phone
(717) 687-6061

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DS 15379 PA Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DS 021002L PA
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DS 029835-L PA

Addresses

Primary practice location

222 N Decantur Street
Strasburg, PA 17579

Mailing address

222 N Decantur Street
Strasburg, PA 17579
Phone (717) 687-6061

National Provider Directory

National Provider Directory

Locations

222 N Decatur St
Strasburg, PA 17579
Phone (717) 687-6061

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154437242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N DECANTUR STREET",
            "city": "STRASBURG",
            "state": "PA",
            "postal_code": "17579",
            "telephone_number": "717-687-6061",
            "fax_number": "717-687-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N DECANTUR STREET",
            "city": "STRASBURG",
            "state": "PA",
            "postal_code": "17579",
            "telephone_number": "717-687-6061",
            "fax_number": "717-687-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRASBURG DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PUTT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "717-687-6061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS 15379",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS 021002L",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS 029835-L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Strasburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.