Active NPI
Jonestown Dental
- General Practice Dentistry
- Jonestown, PA
National Provider Identifier
1205100047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS029748-L
- Legal business name
- JONESTOWN DENTAL
- Practice address
- 310 N Lancaster St
Jonestown, PA 17038-8909 - Phone
- (717) 865-5211
- NPI assigned
- Feb 24, 2012
- Last updated
- Feb 24, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Barry Allyn Moss, DMD
- Title
- President
- Phone
- (717) 991-8750
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS029748-L | PA | Primary |
Addresses
Primary practice location
310 N Lancaster St
Jonestown, PA 17038-8909
Mailing address
PO Box 687
310 N. Lancaster St.
Jonestown, PA 17038-0687
Phone (717) 865-5211
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Dentist
- Jonestown, PA
- NPI 1942376181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330041600000",
"number": "1205100047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 687",
"address_2": "310 N. LANCASTER ST.",
"city": "JONESTOWN",
"state": "PA",
"postal_code": "170380687",
"telephone_number": "717-865-5211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 N LANCASTER ST",
"city": "JONESTOWN",
"state": "PA",
"postal_code": "170388909",
"telephone_number": "717-865-5211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JONESTOWN DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-24",
"last_updated": "2012-02-24",
"status": "A",
"authorized_official_last_name": "MOSS",
"authorized_official_first_name": "BARRY",
"authorized_official_middle_name": "ALLYN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "717-991-8750",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS029748-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jonestown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.