Individual provider Active NPI

Joseph Francis Dilger, D.D.S.

  • General Practice Dentistry
  • Cresco, PA
National Provider Identifier
1285767939
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS22234 Issued in PA
Practice address
1173 Route 390
Cresco, PA 18326-7905
Phone
(570) 595-2303
NPI assigned
Mar 13, 2007
Last updated
Sep 13, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS22234 PA Primary

Addresses

Primary practice location

1173 Route 390
Cresco, PA 18326-7905

Mailing address

1173 Route 390
Cresco, PA 18326-7905
Phone (570) 595-2303

Other identifiers 1

IdentifierTypeStateIssuer
184903OtherPAUNITED CONCORDIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160315000326 PA Order and Referring Only - DentistPractitioner - Dentist 5395041560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS22234PAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1285767939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1173 ROUTE 390",
            "city": "CRESCO",
            "state": "PA",
            "postal_code": "183267905",
            "telephone_number": "570-595-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1173 ROUTE 390",
            "city": "CRESCO",
            "state": "PA",
            "postal_code": "183267905",
            "telephone_number": "570-595-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILGER",
        "first_name": "JOSEPH",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS22234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "184903",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cresco, PA

Sources for this page

Verify at the official NPI Registry.