Parkside Dentistry PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PARKSIDE DENTISTRY PC

Practice address

420 E Park St
Elizabethtown, PA 17022-2267

Phone

(717) 367-2423

Fax

(717) 367-9664

NPI assigned

Apr 27, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Rana Lynn Mathias, DDSNPI 1518169820

Title

Owner

Phone

(717) 367-2423

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rana Lynn Mathias, DDS

  • Pediatric Dentistry
  • Elizabethtown, PA
  • NPI 1518169820
  NPD (past) Authorized official

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587945600000",
    "number": "1992326367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E PARK ST",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170222267",
            "telephone_number": "717-367-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E PARK ST",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170222267",
            "telephone_number": "717-367-2423",
            "fax_number": "717-367-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKSIDE DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-27",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A",
        "authorized_official_last_name": "MATHIAS",
        "authorized_official_first_name": "RANA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-367-2423",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018490460002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Izabella Olweiler, PT
• Optibarn
• Michael Allen Osborne, LPC
• Karen Otto-Sullivan, DDS
• Kelsey O, Pappas, MD
• Joshua David Pasek, DPT
• Patrick Chiropractic Center, P.C.
• David Bruce Patrick, D.C.
• Eric Matthew Pavelik, RPH
• Pennsylvania CVS Pharmacy, L.L.C.

• Dental Clinic/Center in Elizabethtown, PA
• Providers in Elizabethtown, PA by specialty
• Dental Clinic/Center in Pennsylvania

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