Active NPI
Peter Carmen Certo Jr., DMD
- Dentist
- Aston, PA
National Provider Identifier
1265524904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS028538L
- Practice address
- 2940 Concord Rd
Aston, PA 19014-2943 - Phone
- (610) 364-1345
- Fax
- (610) 364-1347
- NPI assigned
- Sep 29, 2006
- Last updated
- Dec 8, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS028538L | PA | Primary |
Addresses
Primary practice location
2940 Concord Rd
Aston, PA 19014-2943
Mailing address
2940 A Concord Rd
Aston, PA 19014-2943
Phone (610) 364-1345
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS028538L | PA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peter C Certo Jr DMD | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Certo Dental
- Durable Medical Equipment & Medical Supplies
- Aston, PA
- NPI 1700263233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481155200000",
"number": "1265524904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2940 A CONCORD RD",
"city": "ASTON",
"state": "PA",
"postal_code": "190142943",
"telephone_number": "610-364-1345",
"fax_number": "610-364-1347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2940 CONCORD RD",
"city": "ASTON",
"state": "PA",
"postal_code": "190142943",
"telephone_number": "610-364-1345",
"fax_number": "610-364-1347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERTO",
"first_name": "PETER",
"middle_name": "CARMEN",
"name_suffix": "Jr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2016-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS028538L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aston, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.