Jspaxon Dental Management, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JSPAXON DENTAL MANAGEMENT, LLC

Doing business as

McKees Rocks Dental

Practice address

757 Chartiers Ave
MC Kees Rocks, PA 15136-3622

Phone

(412) 331-4629

NPI assigned

May 31, 2016

Last updated

May 31, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason Federer

Title

Owner

Phone

(727) 463-8284

Specialties & licenses 1

Addresses

Other names 1

• McKees Rocks Dental Doing business as

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464652800000",
    "number": "1689022675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 CHARTIERS AVE",
            "city": "MC KEES ROCKS",
            "state": "PA",
            "postal_code": "151363622",
            "telephone_number": "412-331-4629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 CHARTIERS AVE",
            "city": "MC KEES ROCKS",
            "state": "PA",
            "postal_code": "151363622",
            "telephone_number": "412-331-4629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSPAXON DENTAL MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-31",
        "last_updated": "2016-05-31",
        "status": "A",
        "authorized_official_last_name": "FEDERER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-463-8284"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McKees Rocks Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in McKees Rocks, PA
• Providers in McKees Rocks, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.