NPIMap

Organization Active NPI

Kutztown Dental Center P.C.

  • General Practice Dentistry
  • Kutztown, PA
National Provider Identifier
1982825386
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS020557L Issued in PA
Legal business name
KUTZTOWN DENTAL CENTER P.C.
Practice address
404 W Main St
Kutztown, PA 19530-1608
Phone
(610) 683-7112
Fax
(610) 683-7376
NPI assigned
May 1, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Dr. William R Epes, DDSNPI 1245332907
Title
President
Phone
(610) 683-7112

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS024208L PA
General Practice Dentistry 1223G0001X DS020557L PA Primary

Addresses

Primary practice location

404 W Main St
Kutztown, PA 19530-1608

Mailing address

404 W Main St
Kutztown, PA 19530-1608
Phone (610) 683-7112

Other identifiers 2

IdentifierTypeStateIssuer
1245332907OtherPAGENERAL DENTIST
1154389377OtherPAGENERAL DENTIST

National Provider Directory

National Provider Directory

Locations

404 W Main St
Kutztown, PA 19530
Phone (610) 683-7112

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982825386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 W MAIN ST",
            "city": "KUTZTOWN",
            "state": "PA",
            "postal_code": "195301608",
            "telephone_number": "610-683-7112",
            "fax_number": "610-683-7376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 W MAIN ST",
            "city": "KUTZTOWN",
            "state": "PA",
            "postal_code": "195301608",
            "telephone_number": "610-683-7112",
            "fax_number": "610-683-7376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUTZTOWN DENTAL CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EPES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-683-7112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS024208L",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS020557L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL DENTIST",
            "identifier": "1245332907",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL DENTIST",
            "identifier": "1154389377",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kutztown, 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.