Individual provider Active NPI

Timothy P Percarpio, D.D.S.

  • General Practice Dentistry
  • Mechanicsburg, PA
National Provider Identifier
1992864243
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS016500L Issued in PA
Practice address
500 Gettysburg Pike
Mechanicsburg, PA 17055-5155
Phone
(717) 697-4609
Fax
(717) 691-5959
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS016500L PA Primary

Addresses

Primary practice location

500 Gettysburg Pike
Mechanicsburg, PA 17055-5155

Mailing address

224 Overfield Dr
Carlisle, PA 17013-3189
Phone (717) 241-6618

Other identifiers 1

IdentifierTypeStateIssuer
PE108703OtherPAUNITED CONCORDIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS016500LPAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Percarpio, Keane & Associates General Practice Past Accepting new patients
Mechanicsburg Dental Associates, LLC General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992864243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 OVERFIELD DR",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170133189",
            "telephone_number": "717-241-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 GETTYSBURG PIKE",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170555155",
            "telephone_number": "717-697-4609",
            "fax_number": "717-691-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERCARPIO",
        "first_name": "TIMOTHY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS016500L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "PE108703",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.