Bear Creek Dental, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DSO36683 Issued in PA

Legal business name

BEAR CREEK DENTAL, PC

Practice address

109 N Main St
Alburtis, PA 18011-9572

Phone

(610) 967-1500

Fax

(610) 967-3100

NPI assigned

May 26, 2010

Last updated

May 26, 2010By 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. Brendan D Blymire, D.M.D.NPI 1255376315

Title

President

Phone

(610) 967-1500

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Brendan Dwight Blymire, D.M.D.

  • General Practice Dentistry
  • Alburtis, PA
  • NPI 1255376315
  NPD (past) Authorized official

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274832000000",
    "number": "1811216104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 N MAIN ST",
            "city": "ALBURTIS",
            "state": "PA",
            "postal_code": "180119572",
            "telephone_number": "610-967-1500",
            "fax_number": "610-967-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N MAIN ST",
            "city": "ALBURTIS",
            "state": "PA",
            "postal_code": "180119572",
            "telephone_number": "610-967-1500",
            "fax_number": "610-967-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAR CREEK DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-26",
        "last_updated": "2010-05-26",
        "status": "A",
        "authorized_official_last_name": "BLYMIRE",
        "authorized_official_first_name": "BRENDAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-967-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DSO36683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brendan Dwight Blymire, D.M.D.
• Kimberly J. Borgmann, M.A.,CCC-SLP
• Caremark Homecare Services LLC
• Catherine Chovanes, LCSW
• Allison Dottor

• General Practice Dentistry in Alburtis, PA
• Providers in Alburtis, 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 26, 2010; 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.