NPIMap

Organization Active NPI

Dental Professionals of Pennsylvania, P.C.

  • General Practice Dentistry
  • Gibsonia, PA
National Provider Identifier
1639619604
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL PROFESSIONALS OF PENNSYLVANIA, P.C.
Practice address
5161 William Flynn Hwy
Suite B
Gibsonia, PA 15044-8401
Phone
(724) 939-6417
NPI assigned
Feb 24, 2017
Organization subpart
Yes
Parent organization
DENTAL PROFESSIONALS OF PENNSYLVANIA, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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

Authorized official

Name
Kendra Walker
Title
Credentialing Supervisor
Phone
(217) 540-8312

Specialties & licenses 1

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

Addresses

Primary practice location

5161 William Flynn Hwy
Suite B
Gibsonia, PA 15044-8401

Mailing address

5161 William Flynn Hwy
Suite B
Gibsonia, PA 15044-8401
Phone (724) 939-6417

Other names 1

  • Gibsonia Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Professionals of Pennsylvania PC40 organizations share this tax ID, including this one
Part of
Dental Professionals of Pennsylvania PC

Other organizations with this tax ID 39

Organizations that report the same tax identification number in the National Provider Directory.

View all 39

Locations

5161 William Flynn Hwy
#B
Gibsonia, PA 15044
Phone (724) 939-3032

NPI Registry JSON

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

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487894400000",
    "number": "1639619604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5161 WILLIAM FLYNN HWY",
            "address_2": "SUITE B",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150448401",
            "telephone_number": "724-939-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5161 WILLIAM FLYNN HWY",
            "address_2": "SUITE B",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150448401",
            "telephone_number": "724-939-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL PROFESSIONALS OF PENNSYLVANIA, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL PROFESSIONALS OF PENNSYLVANIA, P.C.",
        "enumeration_date": "2017-02-24",
        "last_updated": "2017-02-24",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "217-540-8312"
    },
    "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": "Gibsonia Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gibsonia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; 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.