NPIMap

Organization Active NPI

Dental Professionals of Pennsylvania, PC

  • General Practice Dentistry
  • Greensburg, PA
National Provider Identifier
1679947063
Registry record updated Nov 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL PROFESSIONALS OF PENNSYLVANIA, PC
Practice address
6185 State Route 30
Suite a
Greensburg, PA 15601-6408
Phone
(724) 734-5110
NPI assigned
Nov 23, 2015
Organization subpart
Yes
Parent organization
DENTAL PROFESSIONALS OF PENNSYLVANIA, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 23, 2015

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

6185 State Route 30
Suite a
Greensburg, PA 15601-6408

Mailing address

6185 State Route 30
Suite a
Greensburg, PA 15601-6408

Other names 1

  • Greensburg 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

6185 State Route 30
#A
Greensburg, PA 15601
Phone (724) 219-2001

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448236800000",
    "number": "1679947063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6185 STATE ROUTE 30",
            "address_2": "SUITE A",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156016408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6185 STATE ROUTE 30",
            "address_2": "SUITE A",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156016408",
            "telephone_number": "724-734-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL PROFESSIONALS OF PENNSYLVANIA, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL PROFESSIONALS OF PENNSYLVANIA, PC",
        "enumeration_date": "2015-11-23",
        "last_updated": "2015-11-23",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "CREDENTIALING TEAM LEAD",
        "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": "Greensburg Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; 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.