Active NPI
Gettysburg Endodontics PC
- Endodontics
- Gettysburg, PA
National Provider Identifier
1528680550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Endodontics
- Gettysburg, PA
- NPI 1912924002
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.