Organization Active NPI

Robert Winebrenner D.D.S. P.a.

Doing business as Valley Dental Associates

  • Dentist
  • Hagerstown, MD
National Provider Identifier
1407380306
Registry record updated May 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4659 Issued in MD
Legal business name
ROBERT WINEBRENNER D.D.S. P.A.
Doing business as
Valley Dental Associates
Practice address
13424 Pennsylvania Ave
Suite 301
Hagerstown, MD 21742
Phone
(301) 733-3414
Fax
(301) 733-3626
NPI assigned
Apr 18, 2017
Last updated
May 14, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2018

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

Authorized official

Name
Robert Winebrenner, D.D.S.NPI 1023107323
Title
Owner
Phone
(301) 733-3414

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
Dentist 122300000X 4659 MD Primary

Addresses

Primary practice location

13424 Pennsylvania Ave
Suite 301
Hagerstown, MD 21742

Mailing address

13424 Pennsylvania Ave
Hagerstown, MD 21742-2658
Phone (301) 733-3414

Other names 1

  • VALLEY DENTAL ASSOCIATES Doing business as

National Provider Directory

National Provider Directory

Locations

13424 Pennsylvania Ave
Ste 301
Hagerstown, MD 21742
Phone (301) 733-3414

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526256000000",
    "number": "1407380306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13424 PENNSYLVANIA AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422658",
            "telephone_number": "301-733-3414",
            "fax_number": "301-733-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13424 PENNSYLVANIA AVE",
            "address_2": "SUITE 301",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "21742",
            "telephone_number": "301-733-3414",
            "fax_number": "301-733-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT WINEBRENNER D.D.S. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2018-05-14",
        "status": "A",
        "authorized_official_last_name": "WINEBRENNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-733-3414",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "4659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VALLEY DENTAL ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VALLEY DENTAL ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; 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.