NPIMap

Organization Active NPI

Mechanicsburg Dental Associates, LLC

  • General Practice Dentistry
  • Mechanicsburg, PA
National Provider Identifier
1548588437
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MECHANICSBURG DENTAL ASSOCIATES, LLC
Practice address
500 Gettysburg Pike
Mechanicsburg, PA 17055-5155
Phone
(717) 697-4609
Fax
(717) 691-5959
NPI assigned
May 17, 2010
Last updated
Jan 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Authorized official

Name
Mrs. Betty L Olsen
Title
Office Manager
Phone
(717) 697-4609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

500 Gettysburg Pike
Mechanicsburg, PA 17055-5155

Mailing address

500 Gettysburg Pike
Mechanicsburg, PA 17055-5155
Phone (717) 697-4609

Other names 1

  • Percarpio, Keane & Associates Former legal business name

National Provider Directory

National Provider Directory

Locations

500 Gettysburg Pike
Mechanicsburg, PA 17055
Phone (717) 697-4609

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1548588437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 GETTYSBURG PIKE",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170555155",
            "telephone_number": "717-697-4609",
            "fax_number": "717-691-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 GETTYSBURG PIKE",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170555155",
            "telephone_number": "717-697-4609",
            "fax_number": "717-691-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MECHANICSBURG DENTAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-17",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "717-697-4609",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Percarpio, Keane & Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.