Organization Active NPI

Senior & Associates P.C.

  • General Practice Dentistry
  • State College, PA
National Provider Identifier
1417080193
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS021940-L Issued in PA
Legal business name
SENIOR & ASSOCIATES P.C.
Practice address
205 E Beaver Ave
State College, PA 16801-4903
Phone
(814) 238-3055
Fax
(814) 238-1720
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jeffrey A Senior, DMD
Title
Dentist
Phone
(814) 238-3055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DS021940-L PA Primary

Addresses

Primary practice location

205 E Beaver Ave
State College, PA 16801-4903

Mailing address

205 E Beaver Ave
State College, PA 16801-4903
Phone (814) 238-3055

National Provider Directory

National Provider Directory

Locations

205 E Beaver Ave
State College, PA 16801
Phone (814) 237-1751

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417080193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E BEAVER AVE",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168014903",
            "telephone_number": "814-238-3055",
            "fax_number": "814-238-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E BEAVER AVE",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168014903",
            "telephone_number": "814-238-3055",
            "fax_number": "814-238-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR & ASSOCIATES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SENIOR",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "814-238-3055",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS021940-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.