Organization Active NPI

Day Dental Anesthesia

  • Dental Anesthesiology
  • Nicktown, PA
National Provider Identifier
1174188486
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AnesthesiologyTaxonomy code 1223D0004X
Legal business name
DAY DENTAL ANESTHESIA
Practice address
2636 Killen School Road
Nicktown, PA 15762
Phone
(814) 244-7241
NPI assigned
May 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2019

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

Authorized official

Name
Breanna M Day, DMD, DANPI 1386089431
Title
Dentist Anesthesiologist
Phone
(814) 244-7241

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental AnesthesiologyGroup: 193400000X SINGLE SPECIALTY GROUP 1223D0004X Primary

Addresses

Primary practice location

2636 Killen School Road
Nicktown, PA 15762

Mailing address

PO Box 181
Nicktown, PA 15762-0181
Phone (814) 244-7241

Other identifiers 1

IdentifierTypeStateIssuer
1031028020001MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1556755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1174188486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 181",
            "city": "NICKTOWN",
            "state": "PA",
            "postal_code": "157620181",
            "telephone_number": "814-244-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2636 KILLEN SCHOOL ROAD",
            "city": "NICKTOWN",
            "state": "PA",
            "postal_code": "15762",
            "telephone_number": "814-244-7241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAY DENTAL ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "DAY",
        "authorized_official_first_name": "BREANNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST ANESTHESIOLOGIST",
        "authorized_official_telephone_number": "814-244-7241",
        "authorized_official_credential": "DMD, DA"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031028020001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nicktown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.