NPIMap

Organization Active NPI

Indiju3Dental LLC

Doing business as Green Hill Dentistry

  • Dentist
  • Reading, PA
National Provider Identifier
1275073256
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS-029748-L Issued in PA
Legal business name
INDIJU3DENTAL LLC
Doing business as
Green Hill Dentistry
Practice address
2121 Morgantown Rd.
Reading, PA 19607
Phone
(717) 991-8750
Fax
(717) 865-1492
NPI assigned
Feb 24, 2017
Last updated
Feb 24, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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
Owner
Phone
(717) 991-8750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS-029748-L PA Primary

Addresses

Primary practice location

2121 Morgantown Rd.
Reading, PA 19607

Mailing address

2121 Morgantown Rd.
Reading, PA 19607
Phone (717) 991-8750

Other names 1

  • Green Hill Dentistry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487894400000",
    "number": "1275073256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 MORGANTOWN RD.",
            "city": "READING",
            "state": "PA",
            "postal_code": "19607",
            "telephone_number": "717-991-8750",
            "fax_number": "717-865-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 MORGANTOWN RD.",
            "city": "READING",
            "state": "PA",
            "postal_code": "19607",
            "telephone_number": "717-991-8750",
            "fax_number": "717-865-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIJU3DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-24",
        "last_updated": "2017-02-24",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "ALLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-991-8750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS-029748-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Hill Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; 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.