IndividualActive
Justin Derk, DMD
NPI 1619811916 · Student in an Organized Health Care Education/Training Program · Danville, PA
Provider details
- NPI number
- 1619811916
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
20 Wesner Ln
Danville, PA 17821-8023
Phone: (570) 275-6617
Street-level locationGet directions
Mailing address
142 Butternut Ln
Elysburg, PA 17824-7206
Additional practice locations (2)
- 2 Utah DrKulpmont, PA 17834-1972Phone: (570) 373-5563
- 112 Ironstone Dr Ste BNorthumberland, PA 17857-8543Phone: (570) 235-2468
Registry dates
- Enumerated
- 2026-04-16
- Last updated
- 2026-04-16
- Certified
- 2026-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.