Cca Dental Group LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CCA DENTAL GROUP LLC

Practice address

5158 Peach St # 110
Erie, PA 16509-2489

Phone

(814) 868-3647

Fax

(814) 864-2715

NPI assigned

Apr 7, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Cortney Archbold, DDSNPI 1649728692

Title

Manager

Phone

(814) 868-3647

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cortney Archbold, DDS

  • Dentist
  • Erie, PA
  • NPI 1649728692
  NPD Authorized official

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

{
    "created_epoch": "1775520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1609718006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5158 PEACH ST # 110",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165092489",
            "telephone_number": "814-868-3647",
            "fax_number": "814-864-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5158 PEACH ST # 110",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165092489",
            "telephone_number": "814-868-3647",
            "fax_number": "814-864-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCA DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-07",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A",
        "authorized_official_last_name": "ARCHBOLD",
        "authorized_official_first_name": "CORTNEY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "814-868-3647",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catholic Charities Counseling and Adoption Services Inc.
• Lisa M Causgrove, CRT
• Jacob Cauvel, DO
• Kimberly A. Cavanagh, P.A. - C.
• Kathryn Cawley
• Micaela Rae Celender
• Center for Focused Care.
• Center for Healing & Rehabilitation in Substance Abuse Treatment
• Maureen Anne Cephas, PA-C
• Elizabeth Cerilli, DC

• All providers in Erie, PA
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.