NPIMap

Organization Active NPI

Joseph B. Icenhower, Je, DMD,PC

Doing business as oaks family dental

  • General Practice Dentistry
  • Oaks, PA
National Provider Identifier
1871706168
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS-019924-L Issued in PA
Legal business name
JOSEPH B. ICENHOWER, JE, DMD,PC
Doing business as
oaks family dental
Practice address
1408 Egypt Rd
Oaks, PA 19456-0402
Phone
(610) 666-5118
Fax
(610) 666-5088
NPI assigned
May 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joseph B Icenhower Jr., DMDNPI 1669685947
Title
President
Phone
(610) 666-5118

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS-019924-L PA Primary

Addresses

Primary practice location

1408 Egypt Rd
Oaks, PA 19456-0402

Mailing address

P.O. Box 402
1408 Egypt Rd
Oaks, PA 19456-0402
Phone (610) 666-5118

Other names 1

  • oaks family dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871706168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 402",
            "address_2": "1408 EGYPT RD",
            "city": "OAKS",
            "state": "PA",
            "postal_code": "194560402",
            "telephone_number": "610-666-5118",
            "fax_number": "610-666-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 EGYPT RD",
            "city": "OAKS",
            "state": "PA",
            "postal_code": "194560402",
            "telephone_number": "610-666-5118",
            "fax_number": "610-666-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH B. ICENHOWER, JE, DMD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ICENHOWER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-666-5118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS-019924-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "oaks family dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oaks, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.