Active NPI
Michael Bruce Fink, DDS
- Dentist
- Hanover, PA
National Provider Identifier
1689917031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 18829
- Practice address
- 420 W Elm Ave
Hanover, PA 17331-5144 - Phone
- (717) 632-4164
- Fax
- (717) 632-8987
- NPI assigned
- Apr 4, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 18829 | PA | Primary |
Addresses
Primary practice location
420 W Elm Ave
Hanover, PA 17331-5144
Mailing address
11 Cornell Dr
Hanover, PA 17331-9766
Phone (717) 632-4164
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18829 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365033600000",
"number": "1689917031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 CORNELL DR",
"city": "HANOVER",
"state": "PA",
"postal_code": "173319766",
"telephone_number": "717-632-4164",
"fax_number": "717-632-8987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 W ELM AVE",
"city": "HANOVER",
"state": "PA",
"postal_code": "173315144",
"telephone_number": "717-632-4164",
"fax_number": "717-632-8987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINK",
"first_name": "MICHAEL",
"middle_name": "BRUCE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-04",
"last_updated": "2013-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "18829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hanover, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.