Active NPI
Thamar Petit Mistry, DMD
- General Practice Dentistry
- York, PA
National Provider Identifier
1376978452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS042130
- Practice address
- 116 S George St
York, PA 17401-1474 - Phone
- (717) 845-8617
- Fax
- (717) 854-0377
- NPI assigned
- Sep 9, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS042130 | PA | Primary |
Addresses
Primary practice location
116 S George St
York, PA 17401-1474
Mailing address
7516 Grand Lake Dr
Seven Valleys, PA 17360-9156
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DS042130 | Other | PA | DENTAL LICENSE |
Other names 1
- Thamar Petit
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752019200000",
"number": "1376978452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7516 GRAND LAKE DR",
"city": "SEVEN VALLEYS",
"state": "PA",
"postal_code": "173609156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 S GEORGE ST",
"city": "YORK",
"state": "PA",
"postal_code": "174011474",
"telephone_number": "717-845-8617",
"fax_number": "717-854-0377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISTRY",
"first_name": "THAMAR",
"middle_name": "PETIT",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-09",
"last_updated": "2025-07-09",
"certification_date": "2025-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS042130",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE",
"identifier": "DS042130",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "THAMAR",
"last_name": "PETIT",
"credential": "DMD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in York, PA
- Howard A Mirsky, M.D.
- Kelly Leese Miserendino, PAC
- Misericordia Convalescent Home
- Gary A Misiti Jr.
- Divesh Shashikant Mistry, D.M.D., M.B.S.
- Mitchell Familly Chiropractic L.L.C
- Crystal Mitchell Tilson
- Justin Scott Mitchell, PT, DPT
- Tyler Mitcheltree, DC
- Mitrick Pollack Rutter Orthopaedics LLP (York Interventional Spine Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.