Organization Active NPI

Thomas Family Dental II LLC

  • Health Maintenance Organization
  • Charleroi, PA
National Provider Identifier
1619369741
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
DS027841-L Issued in PA
Legal business name
THOMAS FAMILY DENTAL II LLC
Practice address
137 Fallowfield Ave
Charleroi, PA 15022-1402
Phone
(724) 483-4462
Fax
(724) 565-7597
NPI assigned
Feb 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2015

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

Authorized official

Name
Kelly L Marino
Title
Office Manager
Phone
(724) 348-7681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X DS027841-L PA Primary

Addresses

Primary practice location

137 Fallowfield Ave
Charleroi, PA 15022-1402

Mailing address

137 Fallowfield Ave
Charleroi, PA 15022-1402
Phone (724) 483-4462

National Provider Directory

National Provider Directory

Locations

137 Fallowfield Ave
Charleroi, PA 15022
Phone (724) 483-4462

Practitioners & affiliated clinicians

Practitioners 1

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": "1424908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1619369741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 FALLOWFIELD AVE",
            "city": "CHARLEROI",
            "state": "PA",
            "postal_code": "150221402",
            "telephone_number": "724-483-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 FALLOWFIELD AVE",
            "city": "CHARLEROI",
            "state": "PA",
            "postal_code": "150221402",
            "telephone_number": "724-483-4462",
            "fax_number": "724-565-7597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS FAMILY DENTAL II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-26",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "MARINO",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "724-348-7681"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "PA",
            "license": "DS027841-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleroi, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.