Individual provider Active NPI

Mary Beth Gebelein, RDH

  • Dental Hygienist
  • Reading, PA
National Provider Identifier
1669943965
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH008042L Issued in PA
Practice address
838 Penn St
Reading, PA 19602-1108
Phone
(610) 988-4838
Fax
(610) 288-4515
NPI assigned
Dec 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH008042L PA Primary

Addresses

Primary practice location

838 Penn St
Reading, PA 19602-1108

Mailing address

4605 Springfield Ave # 1R
Philadelphia, PA 19143-3693
Phone (484) 431-6557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DH008042LPAMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1669943965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 SPRINGFIELD AVE # 1R",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191433693",
            "telephone_number": "484-431-6557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 PENN ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "196021108",
            "telephone_number": "610-988-4838",
            "fax_number": "610-288-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBELEIN",
        "first_name": "MARY",
        "middle_name": "BETH",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-11",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "PA",
            "license": "DH008042L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; 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.