Individual provider Active NPI

Kevin James Dincher, D.M.D.

  • Dental Anesthesiology
  • Port Matilda, PA
National Provider Identifier
1932542933
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AnesthesiologyTaxonomy code 1223D0004X
License
DS040730 Issued in PA
Practice address
1019 Ghaner Rd
Port Matilda, PA 16870-7235
Phone
(570) 772-2506
NPI assigned
Apr 10, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Anesthesiology 1223D0004X DS040730 PA Primary

Addresses

Primary practice location

1019 Ghaner Rd
Port Matilda, PA 16870-7235

Mailing address

1019 Ghaner Rd
Port Matilda, PA 16870-7235
Phone (570) 772-2506

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
DS040730PAMDDentist Anesthesiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates of Central PA Dental Anesthesiology Current Accepting new patients

Locations

1019 Ghaner Rd
Port Matilda, PA 16870
Phone (814) 954-7056

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468800000000",
    "number": "1932542933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 GHANER RD",
            "city": "PORT MATILDA",
            "state": "PA",
            "postal_code": "168707235",
            "telephone_number": "570-772-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 GHANER RD",
            "city": "PORT MATILDA",
            "state": "PA",
            "postal_code": "168707235",
            "telephone_number": "570-772-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINCHER",
        "first_name": "KEVIN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-10",
        "last_updated": "2016-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "PA",
            "license": "DS040730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Matilda, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; 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.