Organization Active NPI

Gettysburg Endodontics PC

  • Endodontics
  • Gettysburg, PA
National Provider Identifier
1528680550
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
GETTYSBURG ENDODONTICS PC
Doing business as
Mason-Dixon Endodontics
Practice address
1759 York Rd
Gettysburg, PA 17325-8290
Phone
(717) 339-0100
Fax
(717) 339-0111
NPI assigned
May 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Authorized official

Name
Mr. Jeffrey Yingling
Title
Business Manager
Phone
(717) 339-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

1759 York Rd
Gettysburg, PA 17325-8290

Mailing address

1759 York Road
P.O. Box 4476
Gettysburg, PA 17325-4476
Phone (717) 339-0100

Other names 1

  • Mason-Dixon Endodontics Doing business as

National Provider Directory

National Provider Directory

Locations

1759 York Rd
Gettysburg, PA 17325
Phone (717) 339-0100

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": "1589328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1528680550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1759 YORK ROAD",
            "address_2": "P.O. BOX 4476",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173254476",
            "telephone_number": "717-339-0100",
            "fax_number": "717-339-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1759 YORK RD",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173258290",
            "telephone_number": "717-339-0100",
            "fax_number": "717-339-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GETTYSBURG ENDODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "YINGLING",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "717-339-0100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mason-Dixon Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gettysburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.