Individual provider Active NPI

Christina Mazzone, D.M.D.

  • Pediatric Dentistry
  • Lancaster, PA
National Provider Identifier
1871679290
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DS043392 Issued in PA
Practice address
2135 Noll Dr Ste B
Lancaster, PA 17603-7602
Phone
(717) 397-7750
NPI assigned
Oct 27, 2006
Last updated
Oct 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 2218400 NJ
Pediatric Dentistry 1223P0221X DS043392 PA Primary

Addresses

Primary practice location

2135 Noll Dr Ste B
Lancaster, PA 17603-7602

Mailing address

28 Mountain Blvd
Warren, NJ 07059-5608
Phone (908) 791-3333

Other practice location 1

28 Mountain Blvd
Warren, NJ 07059-5608
Phone (908) 791-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2218400NJMDPediatric Dentist
DS043392PAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
C2 Pediatric Dentistry PLLC Pediatric Dentistry CurrentSince Jan 2, 2022 Accepting new patients
Maria L. Meliton, DMD Pediatric Dentistry PastSince Oct 31, 2021 Accepting new patients
Children's Dental Specialists Pediatric Dentistry Past Accepting new patients

Locations

2135 Noll Dr
Ste B
Lancaster, PA 17603
Phone (717) 397-7750

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1871679290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 MOUNTAIN BLVD",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595608",
            "telephone_number": "908-791-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 NOLL DR STE B",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176037602",
            "telephone_number": "717-397-7750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28 Mountain Blvd",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "NJ",
            "postal_code": "070595608",
            "country_code": "US",
            "telephone_number": "908-791-3333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAZZONE",
        "first_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "2218400",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS043392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.