Organization Active NPI

John a Hosage DDS

  • Dentist
  • Mountain Top, PA
National Provider Identifier
1528113784
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS016013L Issued in PA
Legal business name
JOHN A HOSAGE DDS
Practice address
227 S Mountain Blvd
Mountain Top, PA 18707-1911
Phone
(570) 474-9231
Fax
(570) 474-9306
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
John A Hosage, DDS
Title
Dentist
Phone
(570) 474-9231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DS016013L PA Primary

Addresses

Primary practice location

227 S Mountain Blvd
Mountain Top, PA 18707-1911

Mailing address

227 S Mountain Blvd
Mountain Top, PA 18707-1911
Phone (570) 474-9231

Other identifiers 1

IdentifierTypeStateIssuer
0005229270004MedicaidPA

National Provider Directory

National Provider Directory

Locations

227 S Mountain Blvd
Mountain Top, PA 18707
Phone (570) 474-9231

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528113784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 S MOUNTAIN BLVD",
            "city": "MOUNTAIN TOP",
            "state": "PA",
            "postal_code": "187071911",
            "telephone_number": "570-474-9231",
            "fax_number": "570-474-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 S MOUNTAIN BLVD",
            "city": "MOUNTAIN TOP",
            "state": "PA",
            "postal_code": "187071911",
            "telephone_number": "570-474-9231",
            "fax_number": "570-474-9306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A HOSAGE DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOSAGE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "570-474-9231",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS016013L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005229270004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Top, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.