Active NPI
Drake P Dehart DO
- Family Medicine Physician
- Red Lion, PA
National Provider Identifier
1164570669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS004434L
- Legal business name
- DRAKE P DEHART DO
- Practice address
- 3 Dairyland SQ
Red Lion, PA 17356-1801 - Phone
- (717) 246-2604
- Fax
- (717) 246-9612
- NPI assigned
- Jan 8, 2007
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Drake P Dehart, D.O.
- Title
- Owner
- Phone
- (717) 246-2604
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
National Provider Directory
National Provider DirectoryLocations
3 Dairyland Sq
Red Lion, PA 17356
Phone (717) 246-2604
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS004434L | PA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3 Dairyland SQ
Red Lion, PA 17356-1801
Mailing address
3 Dairyland Square
Red Lion, PA 17356
Phone (717) 246-2604
Other names 1
NPPES NPI Registry- Dairyland Medical Center
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2008.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216598400000",
"number": "1164570669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 DAIRYLAND SQUARE",
"city": "RED LION",
"state": "PA",
"postal_code": "17356",
"telephone_number": "717-246-2604",
"fax_number": "717-246-9612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 DAIRYLAND SQ",
"city": "RED LION",
"state": "PA",
"postal_code": "173561801",
"telephone_number": "717-246-2604",
"fax_number": "717-246-9612"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRAKE P DEHART DO",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-08",
"last_updated": "2008-07-21",
"status": "A",
"authorized_official_last_name": "DEHART",
"authorized_official_first_name": "DRAKE",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "717-246-2604",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "PA",
"license": "OS004434L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dairyland Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Red Lion, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.