Organization Active NPI

Drake P Dehart DO

  • Family Medicine Physician
  • Red Lion, PA
National Provider Identifier
1164570669
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS004434L Issued in PA
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.NPI 1205885860
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 Directory

Locations

3 Dairyland Sq
Red Lion, PA 17356
Phone (717) 246-2604

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS004434L PA Primary

Addresses

NPPES NPI Registry

Primary 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 Doing business as

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.

Verify at the official NPI Registry.