Organization Active NPI

Kegerreis Dental, Inc.

  • General Practice Dentistry
  • Myerstown, PA
National Provider Identifier
1619649548
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KEGERREIS DENTAL, INC.
Doing business as
Flanagan, Noone and Kegerreis
Practice address
219 W Hamilton Ave
Myerstown, PA 17067-2360
Phone
(717) 866-5123
Fax
(717) 866-2967
NPI assigned
Sep 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Authorized official

Name
Jennifer Lynn Schies
Title
Office Manager
Phone
(717) 866-5123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

219 W Hamilton Ave
Myerstown, PA 17067-2360

Mailing address

219 W Hamilton Ave
Myerstown, PA 17067-2360
Phone (717) 866-5123

Other names 1

  • Flanagan, Noone and Kegerreis Doing business as

National Provider Directory

National Provider Directory

Locations

219 W Hamilton Ave
Myerstown, PA 17067
Phone (717) 866-5123

Practitioners & affiliated clinicians

Practitioners 3

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": "1632873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1619649548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 W HAMILTON AVE",
            "city": "MYERSTOWN",
            "state": "PA",
            "postal_code": "170672360",
            "telephone_number": "717-866-5123",
            "fax_number": "717-866-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 W HAMILTON AVE",
            "city": "MYERSTOWN",
            "state": "PA",
            "postal_code": "170672360",
            "telephone_number": "717-866-5123",
            "fax_number": "717-866-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEGERREIS DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "SCHIES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "717-866-5123"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flanagan, Noone and Kegerreis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Myerstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.