NPIMap

Organization Active NPI

East Bradford Dental Associates, P.C.

  • General Practice Dentistry
  • West Chester, PA
National Provider Identifier
1013005628
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS-019426L Issued in PA
Legal business name
EAST BRADFORD DENTAL ASSOCIATES, P.C.
Practice address
656 Downingtown Pike
West Chester, PA 19380-1929
Phone
(610) 429-1150
NPI assigned
Oct 10, 2006
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. Joseph Michael Kelly, D.D.S.NPI 1568579605
Title
President
Phone
(610) 429-1150

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DS-019426L PA Primary

Addresses

Primary practice location

656 Downingtown Pike
West Chester, PA 19380-1929

Mailing address

656 Downingtown Pike
West Chester, PA 19380-1929
Phone (610) 429-1150

National Provider Directory

National Provider Directory

Locations

656 Downingtown Pike
West Chester, PA 19380
Phone (610) 429-1150

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013005628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 DOWNINGTOWN PIKE",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193801929",
            "telephone_number": "610-429-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 DOWNINGTOWN PIKE",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193801929",
            "telephone_number": "610-429-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BRADFORD DENTAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-429-1150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS-019426L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, 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.