NPIMap

Organization Active NPI

Above & Beyond Family Dentistry, LLC

  • General Practice Dentistry
  • Hanover, PA
National Provider Identifier
1376146399
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ABOVE & BEYOND FAMILY DENTISTRY, LLC
Practice address
211 Kennedy CT Ste 2
Hanover, PA 17331-5205
Phone
(717) 632-4337
Fax
(717) 632-6832
NPI assigned
Nov 20, 2020
Last updated
Nov 20, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
ABOVE & BEYOND FAMILY DENTISTRY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Authorized official

Name
Tarik W Jbarah, DMD
Title
Owner
Phone
(215) 820-7113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

211 Kennedy CT Ste 2
Hanover, PA 17331-5205

Mailing address

138 Broadway
Hanover, PA 17331-2500
Phone (717) 632-8571

Other names 1

  • Above & Beyond Family Dentistry, LLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Above Beyond Family Dentistry LLC5 organizations share this tax ID, including this one
Part of
Above Beyond Family Dentistry LLC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

138 Broadway
Hanover, PA 17331
Phone (717) 632-8571

211 Kennedy Ct
Ste 2
Hanover, PA 17331
Phone (717) 632-4337

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1376146399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 BROADWAY",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173312500",
            "telephone_number": "717-632-8571",
            "fax_number": "717-632-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 KENNEDY CT STE 2",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173315205",
            "telephone_number": "717-632-4337",
            "fax_number": "717-632-6832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABOVE & BEYOND FAMILY DENTISTRY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ABOVE & BEYOND FAMILY DENTISTRY, LLC",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "JBARAH",
        "authorized_official_first_name": "TARIK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-820-7113",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Above & Beyond Family Dentistry, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hanover, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.