Individual provider Active NPI

Dennis Alan Faith, MD

  • Family Medicine Physician
  • State College, PA
National Provider Identifier
1770727216
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD456595 Issued in PA
Practice address
155 Wellness Way
State College, PA 16803-6702
Phone
(814) 231-7000
Fax
(814) 231-7098
NPI assigned
Apr 28, 2009
Last updated
Aug 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 17222 ND
Family Medicine Physician 207Q00000X 52989 MN
Family Medicine Physician 207Q00000X MC-1532 ID
Family Medicine Physician 207Q00000X MD456595 PA Primary

Addresses

Primary practice location

155 Wellness Way
State College, PA 16803-6702

Mailing address

155 Wellness Way
State College, PA 16803-6702
Phone (814) 231-7000

Other practice location 1

23 Industrial Blvd Ste D
Paoli, PA 19301-1601
Phone (610) 890-8522

Other practice location 2

1000 Highway 12
Hettinger, ND 58639-7530
Phone (701) 567-4561

Other practice location 3

9850 W St Lukes Dr
Nampa, ID 83687-7912
Phone (208) 205-7282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, ID, PA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210518001818 ND Practitioner - Family Practice 5193914950 Reassigns benefits to 1 organization
I20230331000597 ID Practitioner - Family Practice 5193914950 Reassigns benefits to 1 organization
I20250828005564 PA Practitioner - Family Practice 5193914950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Minnesota Medical School, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

155 Wellness Way
State College, PA 16803-6797
Phone (814) 231-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MC-1532IDMDFamily Medicine Physician
MD456595PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Health Care Services CurrentSince Dec 15, 2021 Accepting new patients
St Lukes Clinic-Treasure Valley LLC Family Medicine CurrentSince Nov 30, 2022 Accepting new patients
St Lukes Clinic-Treasure Valley LLC Family Medicine CurrentSince Nov 30, 2022 Accepting new patients
Mount Nittany Medical Center Health Services Inc Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
Vibra Physicians LLC CurrentSince Sep 30, 2024 Accepting new patients
The Modern Country Doctor, LLC Family Medicine PastSince May 17, 2020 Accepting new patients
Mount Nittany Medical Center Past Accepting new patients

Locations

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

6651 W Franklin Rd
Boise, ID 83709
Phone (208) 323-0031

2131 S Bonito Way
Meridian, ID 83642
Phone (208) 202-4700

9850 W St Lukes Dr
Nampa, ID 83687
Phone (208) 205-7282

802 2nd St NW
Ste 1
Bowman, ND 58623
Phone (701) 523-5555

141 Medical Park Ln
Bellefonte, PA 16823
Phone (814) 355-7322

155 Wellness Way
State College, PA 16803
Phone (800) 367-0179

1850 E Park Ave
Ste 201
State College, PA 16803
Phone (814) 234-8800

Interoperability endpoints

  • Direct secure messaging: dfaith167393@direct.centracare.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1770727216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 WELLNESS WAY",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168036702",
            "telephone_number": "814-231-7000",
            "fax_number": "814-231-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 WELLNESS WAY",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168036702",
            "telephone_number": "814-231-7000",
            "fax_number": "814-231-7098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Industrial Blvd Ste D",
            "address_purpose": "LOCATION",
            "city": "Paoli",
            "state": "PA",
            "postal_code": "193011601",
            "country_code": "US",
            "telephone_number": "610-890-8522",
            "fax_number": "484-633-9696",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Highway 12",
            "address_purpose": "LOCATION",
            "city": "Hettinger",
            "state": "ND",
            "postal_code": "586397530",
            "country_code": "US",
            "telephone_number": "701-567-4561",
            "fax_number": "701-567-6361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9850 W St Lukes Dr",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836877912",
            "country_code": "US",
            "telephone_number": "208-205-7282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAITH",
        "first_name": "DENNIS",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-28",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "17222",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "52989",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "MC-1532",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD456595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

Verify at the official NPI Registry.