Organization Active NPI

Shawn R Branton DMD LLC

  • Dentist
  • Williamsport, PA
National Provider Identifier
1336902329
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SHAWN R BRANTON DMD LLC
Practice address
301 Washington Blvd
Williamsport, PA 17701-5129
Phone
(570) 322-8501
NPI assigned
Feb 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Authorized official

Name
Stacy Van Der Putten
Title
Office Manager
Phone
(570) 322-8501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

301 Washington Blvd
Williamsport, PA 17701-5129

Mailing address

301 Washington Blvd
Williamsport, PA 17701-5129
Phone (570) 322-8501

National Provider Directory

National Provider Directory

Locations

301 Washington Blvd
Williamsport, PA 17701
Phone (570) 322-8501

Practitioners & affiliated clinicians

Practitioners 1

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": "1706745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1336902329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 WASHINGTON BLVD",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177015129",
            "telephone_number": "570-322-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 WASHINGTON BLVD",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177015129",
            "telephone_number": "570-322-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWN R BRANTON DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "VAN DER PUTTEN",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "570-322-8501"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.