Organization Active NPI

Cherry Valley Smiles, Inc.

  • Dental Clinic/Center
  • MC Donald, PA
National Provider Identifier
1811540693
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CHERRY VALLEY SMILES, INC.
Practice address
101 N McDonald St
MC Donald, PA 15057-1200
Phone
(724) 926-1400
NPI assigned
Jul 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

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

Authorized official

Name
Dr. Sarah W Ogburn, DMDNPI 1053763540
Title
President
Phone
(724) 986-1974

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

101 N McDonald St
MC Donald, PA 15057-1200

Mailing address

PO Box 227
Hickory, PA 15340-0227
Phone (724) 986-1974

Other identifiers 1

IdentifierTypeStateIssuer
1031268130002MedicaidPA

National Provider Directory

National Provider Directory

Locations

101 N McDonald St
Mc Donald, PA 15057
Phone (724) 926-1400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563494400000",
    "number": "1811540693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 227",
            "city": "HICKORY",
            "state": "PA",
            "postal_code": "153400227",
            "telephone_number": "724-986-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N MCDONALD ST",
            "city": "MC DONALD",
            "state": "PA",
            "postal_code": "150571200",
            "telephone_number": "724-926-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY VALLEY SMILES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-19",
        "last_updated": "2019-07-19",
        "status": "A",
        "authorized_official_last_name": "OGBURN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-986-1974",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031268130002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Donald, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.