NPIMap

Organization Active NPI

Edward C Kassab DMD

  • General Practice Dentistry
  • Mount Joy, PA
National Provider Identifier
1194995746
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS0233445L Issued in PA
Legal business name
EDWARD C KASSAB DMD
Practice address
28 N Barbara St # at
Mount Joy, PA 17552-1402
Phone
(717) 653-2404
NPI assigned
Mar 10, 2008
Last updated
Mar 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Authorized official

Name
Dr. Edward Cliffe KassabNPI 1437156957
Title
Owner
Phone
(717) 653-2404

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
General Practice Dentistry 1223G0001X DS0233445L PA Primary

Addresses

Primary practice location

28 N Barbara St # at
Mount Joy, PA 17552-1402

Mailing address

28 N Barbara St # at
Mount Joy, PA 17552-1402
Phone (717) 653-2404

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1194995746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 N BARBARA ST # AT",
            "city": "MOUNT JOY",
            "state": "PA",
            "postal_code": "175521402",
            "telephone_number": "717-653-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 N BARBARA ST # AT",
            "city": "MOUNT JOY",
            "state": "PA",
            "postal_code": "175521402",
            "telephone_number": "717-653-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD C KASSAB DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "KASSAB",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "CLIFFE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-653-2404",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS0233445L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Joy, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.