Individual provider Active NPI

Bruce Thomas Prior, D.M.D.

  • Dentist
  • North Wales, PA
National Provider Identifier
1154563765
Registry record updated Mar 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS020375L Issued in PA
Practice address
216 Steeplechase Drive
Bruce T. Prior, D.M.D.
North Wales, PA 19454-4233
Phone
(215) 393-3525
Fax
(215) 393-9242
NPI assigned
Mar 27, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS020375L PA Primary

Addresses

Primary practice location

216 Steeplechase Drive
Bruce T. Prior, D.M.D.
North Wales, PA 19454-4233

Mailing address

216 Steeplechase Drive
Bruce T. Prior D.M.D.
North Wales, PA 19454-4233
Phone (215) 393-3525

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

LicenseStateTypeSpecialty
DS020375LPAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238112000000",
    "number": "1154563765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 STEEPLECHASE DRIVE",
            "address_2": "BRUCE T. PRIOR D.M.D.",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194544233",
            "telephone_number": "215-393-3525",
            "fax_number": "215-393-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 STEEPLECHASE DRIVE",
            "address_2": "BRUCE T. PRIOR, D.M.D.",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194544233",
            "telephone_number": "215-393-3525",
            "fax_number": "215-393-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIOR",
        "first_name": "BRUCE",
        "middle_name": "THOMAS",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-27",
        "last_updated": "2009-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS020375L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Wales, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; 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.