NPIMap

Organization Active NPI

Dental Services of Western Pennsylvania, LLC

Doing business as Aspen Dental

  • General Practice Dentistry
  • Erie, PA
National Provider Identifier
1821276007
Registry record updated Feb 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS035635 Issued in PA
Legal business name
DENTAL SERVICES OF WESTERN PENNSYLVANIA, LLC
Doing business as
Aspen Dental
Practice address
2049 Interchange Rd
Erie, PA 16509-8315
Phone
(814) 864-1500
Fax
(814) 864-9480
NPI assigned
Feb 10, 2008
Last updated
Feb 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2008

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

Authorized official

Name
Dr. Rubins Noel, DDSNPI 1588724074
Title
Owner
Phone
(814) 864-1500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DS035635 PA Primary

Addresses

Primary practice location

2049 Interchange Rd
Erie, PA 16509-8315

Mailing address

PO Box 3189
Syracuse, NY 13220-3189
Phone (315) 454-6000

Other names 1

  • Aspen Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1202601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202601600000",
    "number": "1821276007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3189",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132203189",
            "telephone_number": "315-454-6000",
            "fax_number": "315-454-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2049 INTERCHANGE RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165098315",
            "telephone_number": "814-864-1500",
            "fax_number": "814-864-9480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SERVICES OF WESTERN PENNSYLVANIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-10",
        "last_updated": "2008-02-10",
        "status": "A",
        "authorized_official_last_name": "NOEL",
        "authorized_official_first_name": "RUBINS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-864-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS035635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2008; 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.