Covenant Family Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

COVENANT FAMILY DENTAL LLC

Doing business as

Greencastle Family Dental
Grencastle Family Dental

Practice address

50 Eastern Ave Ste 108
Greencastle, PA 17225-1100

Phone

(717) 762-1515

NPI assigned

Aug 23, 2021

Last updated

Sep 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anvarali Mohammadh, DMDNPI 1750693024

Title

Owner

Phone

(717) 762-1515

Specialties & licenses 1

Addresses

Other names 2

• Greencastle Family Dental Doing business as
• Grencastle Family Dental Doing business as

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: stacey@covenantfamilydentistry.com

Practitioners 1

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.

• Anvarali Mohammadh, DMD

  • Dentist
  • Brookhaven, PA
  • NPI 1750693024
  NPD Authorized official

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632700800000",
    "number": "1619643202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 S POTOMAC ST",
            "city": "WAYNESBORO",
            "state": "PA",
            "postal_code": "172682198",
            "telephone_number": "717-762-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 EASTERN AVE STE 108",
            "city": "GREENCASTLE",
            "state": "PA",
            "postal_code": "172251100",
            "telephone_number": "717-762-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "MOHAMMADH",
        "authorized_official_first_name": "ANVARALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-762-1515",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stacey@covenantfamilydentistry.com",
            "affiliation": "N",
            "endpointDescription": "Manager",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "750 S Potomac St",
            "city": "Waynesboro",
            "state": "PA",
            "country_code": "US",
            "postal_code": "172682198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Greencastle Family Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grencastle Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Billie Jo Cassner
• Charlie J Parsons (Greencastle Eye Care Center)
• Charlie J. Parsons (Greencastle Eye Care Center)
• Shane Edwin Clugston
• Kent E Copeland, MD
• Ariana Cramer Langham, MSC
• Jena Helen Daihl, CRNP
• Rachael Anne Defarias, PA-C
• Bonita L Deloach, FNP-C
• Nathan T. Derstine, D.O.

• Dental Clinic/Center in Greencastle, PA
• Providers in Greencastle, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.