Doe Run Dental Associates, LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS037852 Issued in PA

Legal business name

DOE RUN DENTAL ASSOCIATES, LTD

Practice address

108 Doe Run Road
Manheim, PA 17545

Phone

(717) 879-9700

NPI assigned

May 3, 2011

Organization subpart

No

Name

Kathryn S Frey

Title

Practice Manager

Phone

(717) 879-9700

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 3, 2011.

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1275825762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 DOE RUN ROAD",
            "city": "MANHEIM",
            "state": "PA",
            "postal_code": "17545",
            "telephone_number": "717-879-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 DOE RUN ROAD",
            "city": "MANHEIM",
            "state": "PA",
            "postal_code": "17545",
            "telephone_number": "717-879-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOE RUN DENTAL ASSOCIATES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-03",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "FREY",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "717-879-9700"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS037852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; 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.