Organization Active NPI

Advanced Pediatric Dentistry LLC

  • Pediatric Dentistry
  • Mechanicsburg, PA
National Provider Identifier
1154976991
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
ADVANCED PEDIATRIC DENTISTRY LLC
Practice address
220 Cumberland Pkwy Ste 6&7
Mechanicsburg, PA 17055-5683
Phone
(717) 697-5437
Fax
(717) 697-5437
NPI assigned
Aug 8, 2019
Last updated
Aug 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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

Authorized official

Name
Robert Myers
Title
Owner
Phone
(717) 679-5437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X NU Primary

Addresses

Primary practice location

220 Cumberland Pkwy Ste 6&7
Mechanicsburg, PA 17055-5683

Mailing address

220 Cumberland Pkwy Ste 6&7
Mechanicsburg, PA 17055-5683
Phone (717) 697-5437

National Provider Directory

National Provider Directory

Locations

220 Cumberland Pkwy
Ste 67
Mechanicsburg, PA 17055
Phone (717) 697-5437

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565222400000",
    "number": "1154976991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CUMBERLAND PKWY STE 6&7",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170555683",
            "telephone_number": "717-697-5437",
            "fax_number": "717-697-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 CUMBERLAND PKWY STE 6&7",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170555683",
            "telephone_number": "717-697-5437",
            "fax_number": "717-697-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PEDIATRIC DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-679-5437"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.