NPIMap

Organization Active NPI

Jack Aughenbaugh DDS, PC

  • Ambulatory Surgical Clinic/Center
  • Hegins, PA
National Provider Identifier
1285856823
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
DS022224-L Issued in PA
Legal business name
JACK AUGHENBAUGH DDS, PC
Practice address
1144 East Main Street
Hegins, PA 17938
Phone
(570) 682-8143
Fax
(570) 682-8630
NPI assigned
May 3, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jack A Aughenbaugh, D.D.S.NPI 1033189212
Title
Owner
Phone
(570) 682-8143

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X DS022224-L PA Primary

Addresses

Primary practice location

1144 East Main Street
Hegins, PA 17938

Mailing address

PO Box 369
Hegins, PA 17938
Phone (570) 682-8143

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285856823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 369",
            "city": "HEGINS",
            "state": "PA",
            "postal_code": "17938",
            "telephone_number": "570-682-8143",
            "fax_number": "570-682-8630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 EAST MAIN STREET",
            "city": "HEGINS",
            "state": "PA",
            "postal_code": "17938",
            "telephone_number": "570-682-8143",
            "fax_number": "570-682-8630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK AUGHENBAUGH DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AUGHENBAUGH",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-682-8143",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "DS022224-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hegins, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.