Jack David Steele, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS035144 Issued in PA

Practice address

501 E Poplar St
MC Connellsburg, PA 17233-1151

Phone

(717) 485-3015

Fax

(717) 485-3096

NPI assigned

Aug 4, 2006

Last updated

Jan 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jack D. Steele, D.M.D., Family Dentistry, L.L.C.

  • Dentist
  • McConnellsburg, PA
  • NPI 1003436924
  NPD Authorized official

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736553600000",
    "number": "1811905771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E POPLAR ST",
            "city": "MC CONNELLSBURG",
            "state": "PA",
            "postal_code": "172331151",
            "telephone_number": "177-485-3015",
            "fax_number": "177-485-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E POPLAR ST",
            "city": "MC CONNELLSBURG",
            "state": "PA",
            "postal_code": "172331151",
            "telephone_number": "717-485-3015",
            "fax_number": "717-485-3096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20344 School Road",
            "address_purpose": "LOCATION",
            "city": "Dry Run",
            "state": "PA",
            "postal_code": "17220",
            "country_code": "US",
            "telephone_number": "717-349-2600",
            "fax_number": "717-349-7235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEELE",
        "first_name": "JACK",
        "middle_name": "DAVID",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2025-01-11",
        "certification_date": "2025-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS035144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018617750006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darleen Shaw, BSL
• David Dosch Shetter
• Rita Dawn Sipes, CRNP, AGNP-C
• Kenton Robert Sitch, OTR/L
• Catherine S Snyder, RD, LDN
• Douglas D Stern, DO
• Ethan Samuel Stern, DO
• Katlyn Ann Stern, PA-C
• Benjamin Stonesifer
• Nicholas Stonesifer

• General Practice Dentistry in McConnellsburg, PA
• Providers in McConnellsburg, 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 Jan 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.