Radiant Dental of Bedford PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS039587 Issued in PA

Legal business name

RADIANT DENTAL OF BEDFORD PC

Practice address

902 Echo Vale Dr
Bedford, PA 15522-2010

Phone

(814) 623-2217

NPI assigned

Dec 19, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Kyle Dumpert, DMDNPI 1457791519

Title

Dentist/Owner

Phone

(814) 623-2217

Specialties & licenses 1

Addresses

Practitioners 3

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

• Kyle Patrick Dumpert, DMD

  • Dentist
  • Bedford, PA
  • NPI 1457791519
  NPD (past) Authorized official
• William M. Stiffler, D.D.S.

  • Dentist
  • Bedford, PA
  • NPI 1811177694
  NPD (past)
• Randall K. Stuart, D.M.D.

  • Dentist
  • Bedford, PA
  • NPI 1619159464
  NPD (past)

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513641600000",
    "number": "1356857932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 ECHO VALE DR",
            "city": "BEDFORD",
            "state": "PA",
            "postal_code": "155222010",
            "telephone_number": "814-623-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 ECHO VALE DR",
            "city": "BEDFORD",
            "state": "PA",
            "postal_code": "155222010",
            "telephone_number": "814-623-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT DENTAL OF BEDFORD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-19",
        "last_updated": "2017-12-19",
        "status": "A",
        "authorized_official_last_name": "DUMPERT",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "814-623-2217",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS039587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Ann Pollino, DPT
• Positive Growth Solutions
• Thomas Post Jr., M.A. LPC
• Tammy Povich-Shumate, M.H.S.
• Amanda Press, DC
• Darlene Rauser
• Recovery Concepts Addiction Counseling Services, Inc.
• Recovery Concepts Addiction Counseling Services, L.L.C.
• Shanalyn Michelle Reighard, PTA
• Patrice Ressler, MSW

• General Practice Dentistry in Bedford, PA
• Providers in Bedford, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; 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.