David Nicholas Hartranft, DMD
Individual provider Active NPI Dentist · Elkland, PA
NPI 1427437409 · NPPES record last updated May 24, 2015
Key facts
- NPI
- 1427437409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DS040375 (PA)
- Practice address
- 106 Parkhurst St
Elkland, PA 16920-1110 - Phone
- (570) 885-2193
- NPI assigned
- May 24, 2015
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170130001668 | PA | Order and Referring Only - Oral Surgery |
8426330309 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS040375 | PA | Yes |
Addresses
Primary practice location
106 Parkhurst St
Elkland, PA 16920-1110
Mailing address
106 Parkhurst St
Elkland, PA 16920-1110
Phone (570) 885-2193
Other providers in Elkland, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.