Active NPI
Dallastown Medical Associates
- Non-Pharmacy Dispensing Site
- Dallastown, PA
National Provider Identifier
1942536875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- License
- MD450958
- Legal business name
- DALLASTOWN MEDICAL ASSOCIATES
- Practice address
- 1010 Blymire Rd
Dallastown, PA 17313-9220 - Phone
- (717) 244-4531
- NPI assigned
- Oct 28, 2009
- Organization subpart
- Yes
- Parent organization
- MEDVANTX, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenny Heine
- Title
- VP of Operations
- Phone
- (858) 625-2990
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | MD450958 | PA | Primary |
Addresses
Primary practice location
1010 Blymire Rd
Dallastown, PA 17313-9220
Mailing address
5626 Oberlin Dr
Suite 110
San Diego, CA 92121-1705
National Provider Directory
National Provider Directory- Part of
- Tri - State Medical Group Inc
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sports Medicine (Family Medicine) Physician
- Dallastown, PA
- NPI 1104948702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1416960000000",
"number": "1942536875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5626 OBERLIN DR",
"address_2": "SUITE 110",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921211705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 BLYMIRE RD",
"city": "DALLASTOWN",
"state": "PA",
"postal_code": "173139220",
"telephone_number": "717-244-4531"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DALLASTOWN MEDICAL ASSOCIATES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MEDVANTX, INC.",
"enumeration_date": "2009-10-28",
"last_updated": "2014-11-26",
"status": "A",
"authorized_official_last_name": "HEINE",
"authorized_official_first_name": "KENNY",
"authorized_official_title_or_position": "VP OF OPERATIONS",
"authorized_official_telephone_number": "858-625-2990"
},
"taxonomies": [
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": "PA",
"license": "MD450958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallastown, PA
- Colleen Marie Clews, OTR/L
- Cornerstone Caregiving East LLC
- Carol Inez Craven, PTA
- Jessica Anne Crutcher, COTA/L
- Dallastown Area School District
- Dallastown Medical Associates LLP
- Dallastown Operating Inc (Dallastown Nursing Center)
- Donald Daugherty, M.D.
- Michael J Dobish, MD
- Denise Rhonel Druck, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.