James C.a. Mack, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS020328L Issued in PA

Practice address

110 Highland Avenue
New Stanton, PA 15672

Phone

(724) 925-6010

Fax

(724) 925-8631

NPI assigned

Jan 4, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1487958500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HIGHLAND AVENUE",
            "address_2": "P.O. BOX 65",
            "city": "NEW STANTON",
            "state": "PA",
            "postal_code": "15672",
            "telephone_number": "724-925-6010",
            "fax_number": "724-925-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HIGHLAND AVENUE",
            "city": "NEW STANTON",
            "state": "PA",
            "postal_code": "15672",
            "telephone_number": "724-925-6010",
            "fax_number": "724-925-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "JAMES",
        "middle_name": "C.A.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS020328L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muna N Jabbour, M.D.
• John M Aber MD PC
• Martin Anthony Kapusta Jr., DMD
• Julie Lewandowski, RPH
• Billie Jo Lewis, L.P.C.
• New Stanton Chiropractic
• New Stanton Primary Care
• Orndoff Podiatry, P.C.
• Penn Residential, Inc.
• Michael Richard Podolinski, NP-C

• General Practice Dentistry in New Stanton, PA
• Providers in New Stanton, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.