Thomas J Donahue

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

THOMAS J DONAHUE

Practice address

40 Main St
Dallas, PA 18612-1804

Phone

(570) 674-7474

Fax

(570) 674-2984

NPI assigned

Jun 14, 2022

Organization subpart

No

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

Authorized official

Name

Janel Puskar

Title

Financial Coordinator

Phone

(570) 674-7474

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1356071161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MAIN ST",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186121804",
            "telephone_number": "570-674-7474",
            "fax_number": "570-674-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MAIN ST",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186121804",
            "telephone_number": "570-674-7474",
            "fax_number": "570-674-2984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "128 Wyoming Ave",
            "address_purpose": "LOCATION",
            "city": "Wyoming",
            "state": "PA",
            "postal_code": "186441709",
            "country_code": "US",
            "telephone_number": "570-693-6261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THOMAS J DONAHUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "PUSKAR",
        "authorized_official_first_name": "JANEL",
        "authorized_official_title_or_position": "FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "570-674-7474"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Dallas, PA
• Providers in Dallas, PA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.