Organization Active NPI

Dentistry by April Detar

  • General Practice Dentistry
  • State College, PA
National Provider Identifier
1336729573
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTISTRY BY APRIL DETAR
Practice address
2182 Sandy Dr Ste 102
State College, PA 16803-2211
Phone
(814) 234-4444
Fax
(814) 954-5652
NPI assigned
Apr 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Authorized official

Name
Melinda Franek
Title
Insurance Coordinator
Phone
(814) 234-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2182 Sandy Dr Ste 102
State College, PA 16803-2211

Mailing address

2182 Sandy Dr Ste 102
State College, PA 16803-2211
Phone (814) 234-4444

National Provider Directory

National Provider Directory

Locations

2182 Sandy Dr
Ste 102
State College, PA 16803
Phone (814) 234-4444

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1336729573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2182 SANDY DR STE 102",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168032211",
            "telephone_number": "814-234-4444",
            "fax_number": "814-954-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2182 SANDY DR STE 102",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168032211",
            "telephone_number": "814-234-4444",
            "fax_number": "814-954-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTRY BY APRIL DETAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "FRANEK",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "814-234-4444"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.