NPIMap

Rebar Dental

Organization Active NPI Dental Clinic/Center · Olyphant, PA

NPI 1245076835 · NPPES record last updated Jul 3, 2024

Key facts

NPI
1245076835
Entity type
Organization (NPI type 2)
Primary specialty
Dental Clinic/Center 261QD0000X
Legal business name
REBAR DENTAL
Practice address
505 Sunset Dr
Olyphant, PA 18447-1323
Phone
(570) 489-5663
NPI assigned
Jul 3, 2024
Organization subpart
No

Authorized official

Name
Lori Julian
Title
Receptionist
Phone
(570) 489-5663

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Dr Stephen Mrebar DDS (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Yes

Addresses

Primary practice location

505 Sunset Dr
Olyphant, PA 18447-1323

Mailing address

505 Sunset Dr
Olyphant, PA 18447-1323
Phone (570) 489-5663

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 3, 2024.

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1245076835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 SUNSET DR",
            "city": "OLYPHANT",
            "state": "PA",
            "postal_code": "184471323",
            "telephone_number": "570-489-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 SUNSET DR",
            "city": "OLYPHANT",
            "state": "PA",
            "postal_code": "184471323",
            "telephone_number": "570-489-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBAR DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "JULIAN",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "570-489-5663"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olyphant, PA

All providers in Olyphant, PA · Dental Clinic/Center in Pennsylvania

Sources for this page

Verify at the official NPI Registry.