NPIMap

Organization Active NPI

The Salvation Army

  • Public Health Dentistry
  • Oil City, PA
National Provider Identifier
1710113444
Registry record updated Aug 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
THE SALVATION ARMY
Practice address
217 Sycamore St
Oil City, PA 16301-1443
Phone
(814) 677-4056
Fax
(814) 676-8690
NPI assigned
Jun 9, 2009
Last updated
Aug 15, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2017

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

Authorized official

Name
Mr. Michael John Southwick
Title
Secretary
Phone
(845) 620-7329

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X Primary

Addresses

Primary practice location

217 Sycamore St
Oil City, PA 16301-1443

Mailing address

440 West Nyack Road
PO Box C-635
West Nyack, NY 10994-1739
Phone (845) 620-7200

Other names 1

  • Saving Smiles Dental Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
Salvation Army Adc16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Locations

217 Sycamore St
Oil City, PA 16301
Phone (814) 670-0374

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502755200000",
    "number": "1710113444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 WEST NYACK ROAD",
            "address_2": "PO BOX C-635",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109941739",
            "telephone_number": "845-620-7200",
            "fax_number": "845-620-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 SYCAMORE ST",
            "city": "OIL CITY",
            "state": "PA",
            "postal_code": "163011443",
            "telephone_number": "814-677-4056",
            "fax_number": "814-676-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SALVATION ARMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-09",
        "last_updated": "2017-08-15",
        "status": "A",
        "authorized_official_last_name": "SOUTHWICK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "845-620-7329",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saving Smiles Dental Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oil City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2017; 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.