NPIMap

Organization Active NPI

Susquehanna Valley Dental Health Associates

  • Dentist
  • Milton, PA
National Provider Identifier
1891298147
Registry record updated Mar 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS035016 Issued in PA
Legal business name
SUSQUEHANNA VALLEY DENTAL HEALTH ASSOCIATES
Practice address
20 Schoolhouse Rd
Milton, PA 17847
Phone
(570) 742-9607
Fax
(570) 742-6397
NPI assigned
Mar 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2018

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

Authorized official

Name
Kiho Ma, DDSNPI 1285690149
Title
Owner
Phone
(570) 742-9607

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DS035016 PA Primary

Addresses

Primary practice location

20 Schoolhouse Rd
Milton, PA 17847

Mailing address

20 Schoolhouse Rd
Milton, PA 17847
Phone (570) 742-9607

National Provider Directory

National Provider Directory
Tax ID family
Susquehanna Valley Dental Health Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

20 School House Rd
Milton, PA 17847
Phone (570) 742-9607

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520899200000",
    "number": "1891298147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SCHOOLHOUSE RD",
            "city": "MILTON",
            "state": "PA",
            "postal_code": "17847",
            "telephone_number": "570-742-9607",
            "fax_number": "570-742-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SCHOOLHOUSE RD",
            "city": "MILTON",
            "state": "PA",
            "postal_code": "17847",
            "telephone_number": "570-742-9607",
            "fax_number": "570-742-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSQUEHANNA VALLEY DENTAL HEALTH ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-13",
        "last_updated": "2018-03-13",
        "status": "A",
        "authorized_official_last_name": "MA",
        "authorized_official_first_name": "KIHO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-742-9607",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS035016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; 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.