Student Health Impact Project

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

STUDENT HEALTH IMPACT PROJECT

Practice address

6097 Easton Rd
Pipersville, PA 18947-1810

Phone

(866) 916-6447

Fax

(267) 927-5007

NPI assigned

Jul 12, 2018

Organization subpart

No

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

Authorized official

Name

Jodie Lynn Bickley

Title

Credentialist

Phone

(866) 916-6447

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17299/brand/2/csg/1/fhir/r4

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531353600000",
    "number": "1972089993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6097 EASTON RD",
            "city": "PIPERSVILLE",
            "state": "PA",
            "postal_code": "189471810",
            "telephone_number": "866-916-6447",
            "fax_number": "267-927-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6097 EASTON RD",
            "city": "PIPERSVILLE",
            "state": "PA",
            "postal_code": "189471810",
            "telephone_number": "866-916-6447",
            "fax_number": "267-927-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUDENT HEALTH IMPACT PROJECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-12",
        "last_updated": "2018-07-12",
        "status": "A",
        "authorized_official_last_name": "BICKLEY",
        "authorized_official_first_name": "JODIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CREDENTIALIST",
        "authorized_official_telephone_number": "866-916-6447"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chantelle Skavery
• Jessenia Soto
• Adela Nicole Spencer
• Steady Stance Physical Therapy and Vestibular Rehab LLC
• Kathleen Anne Stock, MS OTRL
• Mark Sutherland, ND
• Kelly Tachie-Menson
• Teresa C Gohen
• Carly Urbanovich
• Adrianna Vernace, PH.D.

• General Practice Dentistry in Pipersville, PA
• Providers in Pipersville, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; 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.