Organization Active NPI

Michael Taras D.M.D, L.L.C

  • General Practice Dentistry
  • Allentown, PA
National Provider Identifier
1457523417
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS028211L Issued in PA
Legal business name
MICHAEL TARAS D.M.D, L.L.C
Practice address
2900 Hamilton Blvd
Allentown, PA 18103-2840
Phone
(610) 432-1320
Fax
(610) 432-0148
NPI assigned
Mar 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Dr. Michael Stanley Taras, D.M.DNPI 1326103557
Title
Owner/Dentist
Phone
(610) 432-1320

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DS028211L PA Primary

Addresses

Primary practice location

2900 Hamilton Blvd
Allentown, PA 18103-2840

Mailing address

2900 Hamilton Blvd
Allentown, PA 18103-2840
Phone (610) 432-1320

Other identifiers 1

IdentifierTypeStateIssuer
1012340430001MedicaidPA

National Provider Directory

National Provider Directory

Locations

2900 Hamilton Blvd
Allentown, PA 18103
Phone (610) 432-1320

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1457523417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 HAMILTON BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181032840",
            "telephone_number": "610-432-1320",
            "fax_number": "610-432-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 HAMILTON BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181032840",
            "telephone_number": "610-432-1320",
            "fax_number": "610-432-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL TARAS D.M.D, L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "TARAS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "STANLEY",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "610-432-1320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS028211L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012340430001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.