Individual provider Active NPI

Stephen Daniel Springer, DDS

  • General Practice Dentistry
  • Ephrata, PA
National Provider Identifier
1659644896
Registry record updated Feb 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
030280 Issued in PA
Practice address
23 Hummer Rd
Ephrata, PA 17522-1508
Phone
(717) 733-2147
Fax
(717) 733-4123
NPI assigned
Feb 20, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 030280 PA Primary

Addresses

Primary practice location

23 Hummer Rd
Ephrata, PA 17522-1508

Mailing address

23 Hummer Rd
Ephrata, PA 17522-1508
Phone (717) 733-2147

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151228002347 PA Order and Referring Only - DentistPractitioner - Dentist 2062713589

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
030280PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen D. Springer, D.D.S. & Daniel W. Springer, D.M.D., LTD General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329696000000",
    "number": "1659644896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 HUMMER RD",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221508",
            "telephone_number": "717-733-2147",
            "fax_number": "717-733-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 HUMMER RD",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221508",
            "telephone_number": "717-733-2147",
            "fax_number": "717-733-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRINGER",
        "first_name": "STEPHEN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-20",
        "last_updated": "2012-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "030280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ephrata, PA

Sources for this page

Verify at the official NPI Registry.