Active NPI
Stacy L Guistwite, RDH
- Dental Hygienist
- Hanover, PA
National Provider Identifier
1619165974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH011947L
- Practice address
- 1230 High St
Hanover, PA 17331-1127 - Phone
- (717) 632-9052
- Fax
- (717) 632-2388
- NPI assigned
- Oct 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH011947L | PA | Primary |
Addresses
Primary practice location
1230 High St
Hanover, PA 17331-1127
Mailing address
116 S George St
Suite 301
York, PA 17401-1474
Phone (717) 846-5846
Other names 1
- Stacy L Mertz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DH011947L | PA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192060800000",
"number": "1619165974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 S GEORGE ST",
"address_2": "SUITE 301",
"city": "YORK",
"state": "PA",
"postal_code": "174011474",
"telephone_number": "717-846-5846",
"fax_number": "717-854-0377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 HIGH ST",
"city": "HANOVER",
"state": "PA",
"postal_code": "173311127",
"telephone_number": "717-632-9052",
"fax_number": "717-632-2388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUISTWITE",
"first_name": "STACY",
"middle_name": "L",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-11",
"last_updated": "2007-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "PA",
"license": "DH011947L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STACY",
"last_name": "MERTZ",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hanover, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.