NPIMap

Organization Active NPI

Kotary, Detar & Associates

  • General Practice Dentistry
  • State College, PA
National Provider Identifier
1629094222
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS031506L Issued in PA
Legal business name
KOTARY, DETAR & ASSOCIATES
Practice address
2014 Sandy Dr
State College, PA 16803-2515
Phone
(814) 238-2431
Fax
(814) 235-6881
NPI assigned
Jul 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2007

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

Authorized official

Name
Dr. Edmond M Kotary, D.M.D.NPI 1174797997
Title
Dentist
Phone
(814) 238-2431

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DS030572L PA
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DS031506L PA Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DS016742L PA

Addresses

Primary practice location

2014 Sandy Dr
State College, PA 16803-2515

Mailing address

2014 Sandy Dr
State College, PA 16803-2515
Phone (814) 238-2431

Other names 1

  • Kotary & Kotary PC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186617600000",
    "number": "1629094222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 SANDY DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168032515",
            "telephone_number": "814-238-2431",
            "fax_number": "814-235-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 SANDY DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168032515",
            "telephone_number": "814-238-2431",
            "fax_number": "814-235-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOTARY, DETAR & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-08-09",
        "status": "A",
        "authorized_official_last_name": "KOTARY",
        "authorized_official_first_name": "EDMOND",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "814-238-2431",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS030572L",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS031506L",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS016742L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kotary & Kotary PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in State College, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.

Verify at the official NPI Registry.