Organization Active NPI

Bikle & Beidler Derm Inc

  • Dermatology Physician
  • Chambersburg, PA
National Provider Identifier
1427043256
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
015155E Issued in PA
Legal business name
BIKLE & BEIDLER DERM INC
Practice address
19 N 5TH Avenue
Chambersburg, PA 17201-1752
Phone
(717) 264-9797
Fax
(717) 264-7694
NPI assigned
Sep 19, 2005
Last updated
Oct 22, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Authorized official

Name
Dr. William Lee Davis, MDNPI 1649376708
Title
President
Phone
(717) 264-9797

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
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 015155E PA Primary

Addresses

Primary practice location

19 N 5TH Avenue
Chambersburg, PA 17201-1752

Mailing address

19 N 5TH Avenue
Chambersburg, PA 17201-1752
Phone (717) 264-9797

Other identifiers 2

IdentifierTypeStateIssuer
01461001OtherPACAPITAL BLUE CROSS
053098OtherPAHIGHMARK BS

Other names 1

  • Chambersburg Dermatology Other name

National Provider Directory

National Provider Directory

Locations

19 5th Ave
Chambersburg, PA 17201
Phone (717) 264-9797

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": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1427043256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 N 5TH AVENUE",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172011752",
            "telephone_number": "717-264-9797",
            "fax_number": "717-264-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 N 5TH AVENUE",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172011752",
            "telephone_number": "717-264-9797",
            "fax_number": "717-264-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIKLE & BEIDLER DERM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-264-9797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "PA",
            "license": "015155E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "01461001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS",
            "identifier": "053098",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chambersburg Dermatology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chambersburg, PA

Sources for this page

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