Organization Active NPI

Apple Dental Care, PC

  • Dentist
  • Tobyhanna, PA
National Provider Identifier
1962645978
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS036415 Issued in PA
Legal business name
APPLE DENTAL CARE, PC
Practice address
100 Community Dr
Suite 201
Tobyhanna, PA 18466-8985
Phone
(570) 839-6969
Fax
(570) 839-8788
NPI assigned
Apr 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2009

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

Authorized official

Name
Dr. Mohammed Iqbal Bhuiyan, DDSNPI 1518028794
Title
Managing Clincial Director/Dentist
Phone
(570) 839-6969

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 DS036415 PA Primary

Addresses

Primary practice location

100 Community Dr
Suite 201
Tobyhanna, PA 18466-8985

Mailing address

100 Community Dr
Suite 201
Tobyhanna, PA 18466-8985
Phone (570) 839-6969

Other identifiers 1

IdentifierTypeStateIssuer
102269606-0001MedicaidPA

National Provider Directory

National Provider Directory

Locations

100 Community Dr
Ste 201
Tobyhanna, PA 18466
Phone (570) 839-6969

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": "1239062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239062400000",
    "number": "1962645978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 COMMUNITY DR",
            "address_2": "SUITE 201",
            "city": "TOBYHANNA",
            "state": "PA",
            "postal_code": "184668985",
            "telephone_number": "570-839-6969",
            "fax_number": "570-839-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COMMUNITY DR",
            "address_2": "SUITE 201",
            "city": "TOBYHANNA",
            "state": "PA",
            "postal_code": "184668985",
            "telephone_number": "570-839-6969",
            "fax_number": "570-839-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLE DENTAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-07",
        "last_updated": "2009-04-07",
        "status": "A",
        "authorized_official_last_name": "BHUIYAN",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "IQBAL",
        "authorized_official_title_or_position": "MANAGING CLINCIAL DIRECTOR/DENTIST",
        "authorized_official_telephone_number": "570-839-6969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS036415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102269606-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tobyhanna, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; 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.