Daniel Frederick Ciabattoni, DMD
Individual provider Active NPI Dentist · Sinking Spring, PA
NPI 1003302142 · NPPES record last updated Jul 2, 2018
Key facts
- NPI
- 1003302142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DS041790 (PA)
- Practice address
- 4906 Penn Ave
Sinking Spring, PA 19608-8609 - Phone
- (610) 678-8395
- NPI assigned
- Jul 2, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 14, 2021 through Jan 14, 2027
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS041790 | PA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pagoda Dental Group of Oley, PLLC | Past | Accepting new patients | |
| Reinecker Dental LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS041790 | PA | Yes |
Addresses
Primary practice location
4906 Penn Ave
Sinking Spring, PA 19608-8609
Mailing address
1533 Farr Rd
Reading, PA 19610-2807
Phone (610) 334-7978
Other practice location 1
5001 Perkiomen Ave Ste 102
Reading, PA 19606-9614
Phone (610) 370-2338
Other providers in Sinking Spring, PA
- Jacqueline Jones Caporin
- Caredeserved LLC
- Andrea R Carter
- Chapter Five Co
- Angelique Chelton
- Clear Dermatology LLC
- Adrianne Lynne Clinton
- Concern Professional Services for Children, Youth, & Families
- Concern-Professional Services for Children, Youth & Families
- Concern-Professional Services for Children, Youth & Families
All providers in Sinking Spring, PA · Dentist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.