Active NPI
Taylor Renee Runkle, DMD
- Dentist
- Hamburg, PA
National Provider Identifier
1275377293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS044705
- Practice address
- 1001 S 4TH St
Hamburg, PA 19526-9211 - Phone
- (610) 562-3838
- NPI assigned
- Jun 24, 2024
- Sex
- Female
- 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 | DS044705 | PA | Primary |
Addresses
Primary practice location
1001 S 4TH St
Hamburg, PA 19526-9211
Mailing address
926 Scholl Rd
Pottstown, PA 19465-7270
Phone (610) 256-5661
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 |
|---|---|---|---|
| DS044705 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719187200000",
"number": "1275377293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "926 SCHOLL RD",
"city": "POTTSTOWN",
"state": "PA",
"postal_code": "194657270",
"telephone_number": "610-256-5661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 S 4TH ST",
"city": "HAMBURG",
"state": "PA",
"postal_code": "195269211",
"telephone_number": "610-562-3838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUNKLE",
"first_name": "TAYLOR",
"middle_name": "RENEE",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-24",
"last_updated": "2024-06-24",
"certification_date": "2024-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS044705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.