NPIMap

Organization Active NPI

Erie Endodontic Associates PC

  • Endodontics
  • Erie, PA
National Provider Identifier
1972789451
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
ERIE ENDODONTIC ASSOCIATES PC
Practice address
3308 State Street
Erie, PA 16508-2830
Phone
(814) 452-6345
Fax
(814) 456-8193
NPI assigned
Jan 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Marlind H Stiles, DMDNPI 1043497183
Title
Owner
Phone
(814) 452-6345

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
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

3308 State Street
Erie, PA 16508-2830

Mailing address

3308 State Street
Erie, PA 16508-2830
Phone (814) 452-6345

National Provider Directory

National Provider Directory

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": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1972789451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3308 STATE STREET",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082830",
            "telephone_number": "814-452-6345",
            "fax_number": "814-456-8193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3308 STATE STREET",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082830",
            "telephone_number": "814-452-6345",
            "fax_number": "814-456-8193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIE ENDODONTIC ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "STILES",
        "authorized_official_first_name": "MARLIND",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-452-6345",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.