NPIMap

Organization Active NPI

Vincent G. Dauchess, D.D.S, P.C

  • Oral and Maxillofacial Surgery (Dentist)
  • Pottsville, PA
National Provider Identifier
1538239256
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS018834-L Issued in PA
Legal business name
VINCENT G. DAUCHESS, D.D.S, P.C
Practice address
401 W Market St
Pottsville, PA 17901-2930
Phone
(570) 622-2036
Fax
(570) 622-5242
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Authorized official

Name
Dr. Vincent G. Dauchess, D.D.SNPI 1528030954
Title
Proprieter
Phone
(570) 622-2036

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X DS018834-L PA Primary

Addresses

Primary practice location

401 W Market St
Pottsville, PA 17901-2930

Mailing address

401 W Market St
Pottsville, PA 17901-2930
Phone (570) 622-2036

Other identifiers 5

IdentifierTypeStateIssuer
529243OtherPAATENA
614756OtherPABLUE SHIELD MEDICAL
0012807780002MedicaidPA
02340400OtherPACAPITAL BLUE CROSS
A60922OtherPAAMERIHEALTH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1538239256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W MARKET ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179012930",
            "telephone_number": "570-622-2036",
            "fax_number": "570-622-5242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W MARKET ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179012930",
            "telephone_number": "570-622-2036",
            "fax_number": "570-622-5242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT G. DAUCHESS, D.D.S, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "DAUCHESS",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PROPRIETER",
        "authorized_official_telephone_number": "570-622-2036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS018834-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATENA",
            "identifier": "529243",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD MEDICAL",
            "identifier": "614756",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012807780002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02340400",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "A60922",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.

Verify at the official NPI Registry.