NPIMap

Organization Active NPI

Paul L Boger DMD, PC

  • Dentist
  • Warren, PA
National Provider Identifier
1194174797
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS028642L Issued in PA
Legal business name
PAUL L BOGER DMD, PC
Practice address
406 Market St
Warren, PA 16365-1736
Phone
(814) 726-1240
Fax
(814) 726-2321
NPI assigned
Jun 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Authorized official

Name
Leah Egner
Title
Office Manager
Phone
(814) 726-1240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DS028642L PA Primary

Addresses

Primary practice location

406 Market St
Warren, PA 16365-1736

Mailing address

406 Market St
Warren, PA 16365-1736
Phone (814) 726-1240

Other names 1

  • Market Street Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1465171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1194174797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 MARKET ST",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163651736",
            "telephone_number": "814-726-1240",
            "fax_number": "814-726-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 MARKET ST",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163651736",
            "telephone_number": "814-726-1240",
            "fax_number": "814-726-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL L BOGER DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-06",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "EGNER",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "814-726-1240"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS028642L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Market Street Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.