NPIMap

Organization Active NPI

Spark Orthodontics

  • Dental Clinic/Center
  • Schnecksville, PA
National Provider Identifier
1851776553
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DS038055 Issued in PA
Legal business name
SPARK ORTHODONTICS
Practice address
5021 Route 873
Schnecksville, PA 18078-2213
Phone
(610) 865-2777
Fax
(610) 865-1099
NPI assigned
Jul 23, 2015
Last updated
Jul 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Authorized official

Name
Dr. Jason M Hartman, D.M.D., M.S
Title
Doctor/Owner
Phone
(610) 865-2777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DS038055 PA Primary

Addresses

Primary practice location

5021 Route 873
Schnecksville, PA 18078-2213

Mailing address

5021 Route 873
Schnecksville, PA 18078-2213
Phone (610) 865-2777

National Provider Directory

National Provider Directory
Tax ID family
Spark Orthodontics5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5021 Route 873
Schnecksville, PA 18078
Phone (610) 865-2777

NPI Registry JSON

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1851776553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5021 ROUTE 873",
            "city": "SCHNECKSVILLE",
            "state": "PA",
            "postal_code": "180782213",
            "telephone_number": "610-865-2777",
            "fax_number": "610-865-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5021 ROUTE 873",
            "city": "SCHNECKSVILLE",
            "state": "PA",
            "postal_code": "180782213",
            "telephone_number": "610-865-2777",
            "fax_number": "610-865-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARK ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-23",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "610-865-2777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D., M.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PA",
            "license": "DS038055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schnecksville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.