Organization Active NPI

Anthony D Kuprionas DDS PC

  • Dentist
  • Wilkes Barre, PA
National Provider Identifier
1639349715
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ANTHONY D KUPRIONAS DDS PC
Practice address
24 N Main Street
Wilkes Barre, PA 18701-2603
Phone
(570) 822-4140
Fax
(570) 822-0282
NPI assigned
Mar 5, 2008
Last updated
Mar 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Authorized official

Name
Dr. Anthony D Kuprionas, DDS
Title
Dentist Owner
Phone
(570) 822-4140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

24 N Main Street
Wilkes Barre, PA 18701-2603

Mailing address

24 N Main Street
Wilkes Barre, PA 18701-2603
Phone (570) 822-4140

Other identifiers 1

IdentifierTypeStateIssuer
0015015470001OtherPAMEDICAL ASSISTANCE

National Provider Directory

National Provider Directory

Locations

24 N Main St
Wilkes Barre, PA 18701
Phone (570) 344-1444

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1639349715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 N MAIN STREET",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187012603",
            "telephone_number": "570-822-4140",
            "fax_number": "570-822-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 N MAIN STREET",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187012603",
            "telephone_number": "570-822-4140",
            "fax_number": "570-822-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY D KUPRIONAS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "KUPRIONAS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "570-822-4140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "0015015470001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.