Organization Active NPI

Big Spring Dental Center, LLC

  • General Practice Dentistry
  • Newville, PA
National Provider Identifier
1912103235
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS035647 Issued in PA
Legal business name
BIG SPRING DENTAL CENTER, LLC
Practice address
85 S High St
Newville, PA 17241-1405
Phone
(717) 776-1228
Fax
(717) 754-0755
NPI assigned
Jun 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Authorized official

Name
Dr. Jack Ellis Showley, DDS
Title
Member
Phone
(717) 776-1228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DS035647 PA Primary

Addresses

Primary practice location

85 S High St
Newville, PA 17241-1405

Mailing address

85 S High St
Newville, PA 17241-1405
Phone (717) 776-1228

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1182643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1912103235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 S HIGH ST",
            "city": "NEWVILLE",
            "state": "PA",
            "postal_code": "172411405",
            "telephone_number": "717-776-1228",
            "fax_number": "717-754-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 S HIGH ST",
            "city": "NEWVILLE",
            "state": "PA",
            "postal_code": "172411405",
            "telephone_number": "717-776-1228",
            "fax_number": "717-754-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG SPRING DENTAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-24",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "SHOWLEY",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "ELLIS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "717-776-1228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS035647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.