NPIMap

Organization Active NPI

Tarik Jbarah DMD LLC

  • Dental Clinic/Center
  • Hanover, PA
National Provider Identifier
1790152205
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DS036611 Issued in PA
Legal business name
TARIK JBARAH DMD LLC
Practice address
250 Fame Ave
Suite #206
Hanover, PA 17331-1587
Phone
(717) 637-0202
NPI assigned
Sep 1, 2015
Organization subpart
Yes
Parent organization
TARIK JBARAH DMD LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Authorized official

Name
Andi Leas
Title
Front Office
Phone
(717) 632-8571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DS036611 PA Primary

Addresses

Primary practice location

250 Fame Ave
Suite #206
Hanover, PA 17331-1587

Mailing address

250 Fame Ave
Suite #206
Hanover, PA 17331-1587
Phone (717) 637-0202

National Provider Directory

National Provider Directory
Tax ID family
Tarik Jbarah DMD LLC4 organizations share this tax ID, including this one
Part of
Tarik Jbarah DMD LLC

Other organizations with this tax ID 3

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1790152205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 FAME AVE",
            "address_2": "SUITE #206",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311587",
            "telephone_number": "717-637-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 FAME AVE",
            "address_2": "SUITE #206",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311587",
            "telephone_number": "717-637-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARIK JBARAH DMD LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TARIK JBARAH DMD LLC",
        "enumeration_date": "2015-09-01",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "LEAS",
        "authorized_official_first_name": "ANDI",
        "authorized_official_title_or_position": "FRONT OFFICE",
        "authorized_official_telephone_number": "717-632-8571"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PA",
            "license": "DS036611",
            "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 Jan 13, 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.