Individual provider Active NPI

Hiren Shantilal Pansuria, DDS

  • General Practice Dentistry
  • Harrisburg, PA
National Provider Identifier
1417517467
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS042161 Issued in PA
Practice address
4940 Linglestown Rd
Harrisburg, PA 17112-9178
Phone
(717) 901-7045
Fax
(717) 657-2712
NPI assigned
Jun 20, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS042161 PA Primary

Addresses

Primary practice location

4940 Linglestown Rd
Harrisburg, PA 17112-9178

Mailing address

6315 Great Oak Dr
Mechanicsburg, PA 17050-7308
Phone (201) 546-0876

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS042161PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
CDG Harrisburg LLC General Practice CurrentSince May 4, 2025 Accepting new patients
Susquehanna Valley Dental Group PC General Practice Past Accepting new patients
Colonial Dental Group PC General Practice PastSince May 4, 2025 Accepting new patients

Locations

4940 Linglestown Rd
Harrisburg, PA 17112
Phone (717) 901-7045

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1417517467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6315 GREAT OAK DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170507308",
            "telephone_number": "201-546-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 LINGLESTOWN RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171129178",
            "telephone_number": "717-901-7045",
            "fax_number": "717-657-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANSURIA",
        "first_name": "HIREN",
        "middle_name": "SHANTILAL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-20",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS042161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

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

Verify at the official NPI Registry.