NPIMap

Organization Active NPI

Yorktown Dental Care PLLC

  • Clinic/Center
  • York, PA
National Provider Identifier
1417663238
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
YORKTOWN DENTAL CARE PLLC
Practice address
2851 Eastern Blvd.
York, PA 17402
Phone
(717) 757-9614
Fax
(717) 755-0224
NPI assigned
Jan 25, 2023
Last updated
Jan 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Authorized official

Name
Jordan K. Grant, D.M.DNPI 1003996034
Title
President/Dentist
Phone
(215) 882-3448

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

2851 Eastern Blvd.
York, PA 17402

Mailing address

2851 Eastern Blvd.
York, PA 17402
Phone (717) 757-9614

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1417663238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 EASTERN BLVD.",
            "city": "YORK",
            "state": "PA",
            "postal_code": "17402",
            "telephone_number": "717-757-9614",
            "fax_number": "717-755-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 EASTERN BLVD.",
            "city": "YORK",
            "state": "PA",
            "postal_code": "17402",
            "telephone_number": "717-757-9614",
            "fax_number": "717-755-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YORKTOWN DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "215-882-3448",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.