NPIMap

Organization Active NPI

Indiju Dental PC

Doing business as East Chocolate Dental

  • Dental Clinic/Center
  • Hershey, PA
National Provider Identifier
1831560663
Registry record updated Oct 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DS028748-L
Legal business name
INDIJU DENTAL PC
Doing business as
East Chocolate Dental
Practice address
1135 E Chocolate Ave
Hershey, PA 17033-1220
Phone
(717) 534-1135
NPI assigned
Oct 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2015

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

Authorized official

Name
Dr. Barry Allyn Moss, DMD
Title
Owner
Phone
(717) 991-8750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DS028748-L Primary

Addresses

Primary practice location

1135 E Chocolate Ave
Hershey, PA 17033-1220

Mailing address

245 Dunham Dr
Hummelstown, PA 17036-8040
Phone (717) 991-8750

Other names 1

  • East Chocolate Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1135 E Chocolate Ave
Hershey, PA 17033
Phone (717) 534-1135

Practitioners & affiliated clinicians

Practitioners 7

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": "1445299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445299200000",
    "number": "1831560663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 DUNHAM DR",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170368040",
            "telephone_number": "717-991-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 E CHOCOLATE AVE",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331220",
            "telephone_number": "717-534-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIJU DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-20",
        "last_updated": "2015-10-20",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "ALLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-991-8750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": "DS028748-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Chocolate Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hershey, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; 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.