Organization Active NPI

Dr. Robert G. Wertz D.D.S., LTD.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lebanon, PA
National Provider Identifier
1619153822
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DS018592L Issued in PA
Legal business name
DR. ROBERT G. WERTZ D.D.S., LTD.
Practice address
855 Norman Dr
Lebanon, PA 17042-7445
Phone
(717) 273-9780
Fax
(717) 273-5021
NPI assigned
Jan 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Authorized official

Name
Dr. Roberts G Wertz, DR.
Title
Orthodontist
Phone
(717) 273-9780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X DS018592L PA Primary

Addresses

Primary practice location

855 Norman Dr
Lebanon, PA 17042-7445

Mailing address

855 Norman Dr
Lebanon, PA 17042-7445
Phone (717) 273-9780

National Provider Directory

National Provider Directory

Locations

855 Norman Dr
Lebanon, PA 17042
Phone (717) 273-9780

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": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1619153822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 NORMAN DR",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427445",
            "telephone_number": "717-273-9780",
            "fax_number": "717-273-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 NORMAN DR",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427445",
            "telephone_number": "717-273-9780",
            "fax_number": "717-273-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ROBERT G. WERTZ D.D.S., LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "WERTZ",
        "authorized_official_first_name": "ROBERTS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "717-273-9780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DR."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS018592L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.