Organization Active NPI

Mauro Family Dentistry

  • General Practice Dentistry
  • Paoli, PA
National Provider Identifier
1972142255
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MAURO FAMILY DENTISTRY
Practice address
45 Darby Rd Ste C
Paoli, PA 19301-1475
Phone
(484) 645-7270
NPI assigned
Jan 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Authorized official

Name
Dr. William G Mauro, DMDNPI 1184843385
Title
Owner/Dentist
Phone
(484) 645-7270

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 Primary

Addresses

Primary practice location

45 Darby Rd Ste C
Paoli, PA 19301-1475

Mailing address

45 Darby Rd Ste C
Paoli, PA 19301-1475
Phone (484) 645-7270

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address smile@maurodentistry.net Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

45 Darby Rd
Ste C
Paoli, PA 19301
Phone (484) 645-7270

Practitioners & affiliated clinicians

Practitioners 4

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": "1578009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578009600000",
    "number": "1972142255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 DARBY RD STE C",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011475",
            "telephone_number": "484-645-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 DARBY RD STE C",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011475",
            "telephone_number": "484-645-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURO FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-03",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A",
        "authorized_official_last_name": "MAURO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "484-645-7270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smile@maurodentistry.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "45 Darby Rd Ste C",
            "city": "Paoli",
            "state": "PA",
            "country_code": "US",
            "postal_code": "193011475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.