Active NPI
I John Roemig, DMD
- General Practice Dentistry
- Harrisburg, PA
National Provider Identifier
1508912551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS021476-L
- Practice address
- 1650 Walnut St
Harrisburg, PA 17103-2350 - Phone
- (717) 230-3958
- NPI assigned
- Jan 25, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS021476-L | PA | Primary |
Addresses
Primary practice location
1650 Walnut St
Harrisburg, PA 17103-2350
Mailing address
1650 Walnut St
Harrisburg, PA 17103-2350
Phone (717) 230-3958
Other practice location 1
2501 N 3rd St Fl 2
Harrisburg, PA 17110-1904
Phone (717) 782-2750
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001255194 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | iroemig53547@phsdirect.pinnaclehealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS021476-L | PA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617926400000",
"number": "1508912551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 WALNUT ST",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171032350",
"telephone_number": "717-230-3958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 WALNUT ST",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171032350",
"telephone_number": "717-230-3958"
}
],
"practiceLocations": [
{
"address_1": "2501 N 3rd St Fl 2",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "PA",
"postal_code": "171101904",
"country_code": "US",
"telephone_number": "717-782-2750",
"fax_number": "717-782-4761",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROEMIG",
"first_name": "I",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2021-04-09",
"certification_date": "2021-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS021476-L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001255194",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "iroemig53547@phsdirect.pinnaclehealth.org",
"affiliation": "N",
"address_1": "2501 N 3rd St Fl 2",
"city": "Harrisburg",
"state": "PA",
"country_code": "US",
"postal_code": "171101904",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.