NPIMap

Organization Active NPI

Comprehensive Family Dentistry

  • Customized Equipment (DME)
  • Wexford, PA
National Provider Identifier
1336554765
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
DS025256-L Issued in PA
Legal business name
COMPREHENSIVE FAMILY DENTISTRY
Practice address
108 Vip Dr
Suite 105
Wexford, PA 15090-7975
Phone
(724) 935-0700
Fax
(724) 935-2834
NPI assigned
Jun 24, 2014
Last updated
Jun 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Authorized official

Name
Dr. Barry Lynn Rotz, DMDNPI 1033173042
Title
Dentist/Sole Proprietor
Phone
(724) 935-0700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X DS025256-L PA Primary

Addresses

Primary practice location

108 Vip Dr
Suite 105
Wexford, PA 15090-7975

Mailing address

108 Vip Dr
Suite 105
Wexford, PA 15090-7975
Phone (724) 935-0700

National Provider Directory

National Provider Directory

Locations

108 Vip Dr
Ste 105
Wexford, PA 15090
Phone (724) 935-0700

Practitioners & affiliated clinicians

Practitioners 3

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": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1336554765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 VIP DR",
            "address_2": "SUITE 105",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150907975",
            "telephone_number": "724-935-0700",
            "fax_number": "724-935-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 VIP DR",
            "address_2": "SUITE 105",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150907975",
            "telephone_number": "724-935-0700",
            "fax_number": "724-935-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "ROTZ",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DENTIST/SOLE PROPRIETOR",
        "authorized_official_telephone_number": "724-935-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "PA",
            "license": "DS025256-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.