Organization Active NPI

W. R. Ueberroth, DDS, PC

  • General Practice Dentistry
  • Birdsboro, PA
National Provider Identifier
1366496408
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS029973L Issued in PA
Legal business name
W. R. UEBERROTH, DDS, PC
Practice address
117 N Furnace St
Birdsboro, PA 19508-2022
Phone
(610) 582-1594
Fax
(610) 404-7818
NPI assigned
May 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Dr. Konstantina Kritikos-Karalis, D.M.D.NPI 1235322652
Title
President/ Primary General Dentist
Phone
(610) 582-1594

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DS029973L PA Primary

Addresses

Primary practice location

117 N Furnace St
Birdsboro, PA 19508-2022

Mailing address

117 N Furnace St
Birdsboro, PA 19508-2022
Phone (610) 582-1594

National Provider Directory

National Provider Directory

Locations

117 N Furnace St
Birdsboro, PA 19508
Phone (610) 582-1594

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": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1366496408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 N FURNACE ST",
            "city": "BIRDSBORO",
            "state": "PA",
            "postal_code": "195082022",
            "telephone_number": "610-582-1594",
            "fax_number": "610-404-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N FURNACE ST",
            "city": "BIRDSBORO",
            "state": "PA",
            "postal_code": "195082022",
            "telephone_number": "610-582-1594",
            "fax_number": "610-404-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W. R. UEBERROTH, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "KRITIKOS-KARALIS",
        "authorized_official_first_name": "KONSTANTINA",
        "authorized_official_title_or_position": "PRESIDENT/ PRIMARY GENERAL DENTIST",
        "authorized_official_telephone_number": "610-582-1594",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS029973L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birdsboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.