NPIMap

Organization Active NPI

Comprehensive Dental Group, LLC

  • Dentist
  • Erie, PA
National Provider Identifier
1275938334
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
COMPREHENSIVE DENTAL GROUP, LLC
Doing business as
Hammerlee Dental Care
Practice address
5158 Peach St
Erie, PA 16509-2489
Phone
(814) 868-3647
Fax
(814) 864-2715
NPI assigned
Oct 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. William Dale Hammerlee, D.M.D.
Title
Sole Member and Manager
Phone
(814) 868-3647

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X Primary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X

Addresses

Primary practice location

5158 Peach St
Erie, PA 16509-2489

Mailing address

5158 Peach St
Erie, PA 16509-2489
Phone (814) 868-3647

Other names 1

  • Hammerlee Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

5158 Peach St
Erie, PA 16509
Phone (814) 868-3647

NPI Registry JSON

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1275938334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5158 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165092489",
            "telephone_number": "814-868-3647",
            "fax_number": "814-864-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5158 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165092489",
            "telephone_number": "814-868-3647",
            "fax_number": "814-864-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE DENTAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "HAMMERLEE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "SOLE MEMBER AND MANAGER",
        "authorized_official_telephone_number": "814-868-3647",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hammerlee Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.