Active NPI
Rana Lynn Mathias, DDS
- Pediatric Dentistry
- Elizabethtown, PA
National Provider Identifier
1518169820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DS031278L
- Practice address
- 420 E Park St
Elizabethtown, PA 17022-2267 - Phone
- (717) 367-2423
- Fax
- (717) 367-9664
- NPI assigned
- May 31, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DS031278L | PA | Primary |
Addresses
Primary practice location
420 E Park St
Elizabethtown, PA 17022-2267
Mailing address
756 Woodfield Dr
Lititz, PA 17543-6601
Phone (717) 569-2060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011644380001 | Medicaid | PA |
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 |
|---|---|---|---|
| DS031278L | PA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkside Dentistry PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Elizabethtown, PA
- NPI 1992326367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518169820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "756 WOODFIELD DR",
"city": "LITITZ",
"state": "PA",
"postal_code": "175436601",
"telephone_number": "717-569-2060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 E PARK ST",
"city": "ELIZABETHTOWN",
"state": "PA",
"postal_code": "170222267",
"telephone_number": "717-367-2423",
"fax_number": "717-367-9664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHIAS",
"first_name": "RANA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "PA",
"license": "DS031278L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011644380001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elizabethtown, PA
- Masonic Villages of the Grand Lodge of Pennsylvania (Masonic Village at Elizabethtown)
- Masonic Villages of the Grand Lodge of Pennsylvania (Masonic Village at Elizabethtown)
- Masonic Villages of the Grand Lodge of Pennsylvania (Masonic Village Hospice)
- Masonic Villages of the Grand Lodge of Pennsylvania
- John J Mast, M.D.
- Brianne Alyssa Mayhue, OTR/L
- Margaret Lauren McFarland
- Corrine McGrail
- Brooke I McNece, PA-C
- Brigett Elizabeth McSharar
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.