Active NPI
Cherry Valley Smiles, Inc.
- Dental Clinic/Center
- MC Donald, PA
National Provider Identifier
1811540693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sarah W Ogburn, DMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1031268130002 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- MC Donald, PA
- NPI 1053763540
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.