Organization Active NPI

James L Reppermund DMD PC

  • General Practice Dentistry
  • Valencia, PA
National Provider Identifier
1962585364
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
025546L Issued in PA
Legal business name
JAMES L REPPERMUND DMD PC
Practice address
1376 Pittsburgh Rd
Valencia, PA 16059
Phone
(724) 898-2377
Fax
(724) 898-2557
NPI assigned
Oct 23, 2006
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
James L Reppermund, DMDNPI 1700956067
Title
President
Phone
(724) 898-2377

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 025546L PA Primary

Addresses

Primary practice location

1376 Pittsburgh Rd
Valencia, PA 16059

Mailing address

1376 Pittsburgh Rd
Valencia, PA 16059
Phone (724) 898-2377

Other identifiers 2

IdentifierTypeStateIssuer
RE486177OtherPAUNITED CONCORDIA
RE486177OtherPAPENNA BLUE SHEILD

National Provider Directory

National Provider Directory

Locations

1376 Pittsburgh Rd
Valencia, PA 16059
Phone (724) 316-9554

Practitioners & affiliated clinicians

Practitioners 1

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": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962585364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1376 PITTSBURGH RD",
            "city": "VALENCIA",
            "state": "PA",
            "postal_code": "16059",
            "telephone_number": "724-898-2377",
            "fax_number": "724-898-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1376 PITTSBURGH RD",
            "city": "VALENCIA",
            "state": "PA",
            "postal_code": "16059",
            "telephone_number": "724-898-2377",
            "fax_number": "724-898-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES L REPPERMUND DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REPPERMUND",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-898-2377",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "025546L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "RE486177",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNA BLUE SHEILD",
            "identifier": "RE486177",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, 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.