Santarsiero Family Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS037183 Issued in PA

Legal business name

SANTARSIERO FAMILY DENTAL LLC

Practice address

119 Main St
Blakely, PA 18447-1291

Phone

(570) 382-3627

Fax

(570) 382-8116

NPI assigned

Mar 3, 2014

Last updated

May 13, 2015By 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

Dr. Nicholas M Santarsiero, DMDNPI 1659575967

Title

Owner

Phone

(570) 382-3627

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Nicholas Michael Santarsiero, D.M.D.

  • General Practice Dentistry
  • Blakely, PA
  • NPI 1659575967
  NPD (past) Authorized official
• Alan Pace, D.M.D.

  • General Practice Dentistry
  • Blakely, PA
  • NPI 1659729515
  NPD (past)

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

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1760807580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 MAIN ST",
            "city": "BLAKELY",
            "state": "PA",
            "postal_code": "184471291",
            "telephone_number": "570-382-3627",
            "fax_number": "570-382-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 MAIN ST",
            "city": "BLAKELY",
            "state": "PA",
            "postal_code": "184471291",
            "telephone_number": "570-382-3627",
            "fax_number": "570-382-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTARSIERO FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-03",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "SANTARSIERO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-382-3627",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS037183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Michelle Rakestraw, PH.D.
• Marie T. Ratchford-Demkosky, MS, RD, LDN,CDE
• Silke H Reddington, DPT
• Casey Reid
• Corinne Ross-Van Fleet, LCSW
• Nicholas Michael Santarsiero, D.M.D.
• Craig Thomas Scanland, DPM
• John A Scanland, DPM
• Michael Senyk, DC
• Alexandra Sharpe

• General Practice Dentistry in Blakely, PA
• Providers in Blakely, 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 13, 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.