Individual provider Active NPI

Mario E. D'Aurora, D.D.S.

  • Dentist
  • Erie, PA
National Provider Identifier
1407834666
Registry record updated Aug 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS021953L Issued in PA
Practice address
3805 Raspberry St
Erie, PA 16509-1321
Phone
(814) 864-4807
Fax
(814) 866-5445
NPI assigned
Jan 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS021953L PA Primary

Addresses

Primary practice location

3805 Raspberry St
Erie, PA 16509-1321

Mailing address

2912 Contessa LN
Erie, PA 16506-1741
Phone (814) 833-7899

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": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188518400000",
    "number": "1407834666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2912 CONTESSA LN",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165061741",
            "telephone_number": "814-833-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 RASPBERRY ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165091321",
            "telephone_number": "814-864-4807",
            "fax_number": "814-866-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AURORA",
        "first_name": "MARIO",
        "middle_name": "E.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2007-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS021953L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; 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.