Dental Specialists of Nepa

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DS017029L Issued in PA

Legal business name

DENTAL SPECIALISTS OF NEPA

Practice address

500 3Rd Ave
Kingston, PA 18704-5810

Phone

(570) 331-0824

Fax

(570) 331-0827

NPI assigned

Mar 2, 2016

Last updated

Mar 2, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul ManciaNPI 1316951049

Title

DDS

Phone

(570) 331-0824

Specialties & licenses 1

Addresses

Tax ID family

Dental Specialists of Nepa2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Dental Specialists of Northeast PA Root Canal & Implant Dentistry PC

  • Endodontics
  • Hazleton, PA
  • NPI 1528364932
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul R. Mancia, DDS

  • Endodontics
  • Kingston, PA
  • NPI 1316951049
  Authorized official Same address or phone

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1407216526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 3RD AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045810",
            "telephone_number": "570-331-0824",
            "fax_number": "570-331-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 3RD AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045810",
            "telephone_number": "570-331-0824",
            "fax_number": "570-331-0827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SPECIALISTS OF NEPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "MANCIA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "570-331-0824",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS017029L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• E F Delaney, M.A.
• Elizabeth Ann Delaney, LCSW
• Thomas Jay Delehanty, M.D.
• Diane M Delregno, OD
• Heather M Deluca, N.D.
• Amy Derby, LMT
• Aunisha Desai, PA-C
• Allison Difebo
• Dawn Dimaria, LSW
• Patti A. Dompkosky, RPH

• Endodontics in Kingston, PA
• Providers in Kingston, PA by specialty
• Endodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.