NPIMap

Dental Professionals of Pennsylvania P C

Organization Active NPI General Practice Dentistry · York, PA

NPI 1669748885 · NPPES record last updated May 9, 2014

Key facts

NPI
1669748885
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
DENTAL PROFESSIONALS OF PENNSYLVANIA P C
Practice address
1623 Rodney Rd
York, PA 17408-9106
Phone
(717) 764-8541
Fax
(717) 767-5946
NPI assigned
Apr 2, 2012
Organization subpart
Yes
Parent organization (as reported)
DENTAL PROFESSIONALS OF PENNSYLVANIA P C

Authorized official

Name
Pam Hardiek
Title
Insurance/Credentialing
Phone
(217) 540-5100

Corporate family (same tax ID) 39

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

View all 39

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Dental Professionals of Pennsylvania PC (40 organizations share this tax ID)
Part of
Dental Professionals of Pennsylvania PC

Locations

1623 Rodney Rd
York, PA 17408
Phone (717) 764-8541

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP		 1223G0001X Yes

Addresses

Primary practice location

1623 Rodney Rd
York, PA 17408-9106

Mailing address

1623 Rodney Rd
York, PA 17408-9106
Phone (717) 764-8541

Other names

  • West York Dental Care Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 9, 2014.

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399593600000",
    "number": "1669748885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 RODNEY RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174089106",
            "telephone_number": "717-764-8541",
            "fax_number": "717-767-5946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 RODNEY RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174089106",
            "telephone_number": "717-764-8541",
            "fax_number": "717-767-5946"
        }
    ],
    "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": "2012-04-02",
        "last_updated": "2014-05-09",
        "status": "A",
        "authorized_official_last_name": "HARDIEK",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "INSURANCE/CREDENTIALING",
        "authorized_official_telephone_number": "217-540-5100"
    },
    "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": "West York Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in York, PA

All providers in York, PA · General Practice Dentistry in Pennsylvania

Sources for this page

Verify at the official NPI Registry.