Active NPI
W. R. Ueberroth, DDS, PC
- General Practice Dentistry
- Birdsboro, PA
National Provider Identifier
1366496408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS029973L
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Birdsboro, PA
- NPI 1235322652
General Practice
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.