Individual provider Active NPI

Catherine M Alderman-Mauro, D.M.D

  • General Practice Dentistry
  • Paoli, PA
National Provider Identifier
1013139005
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS030160L Issued in PA
Practice address
45 Darby Rd
Suite C
Paoli, PA 19301-1475
Phone
(610) 644-6858
Fax
(610) 644-7868
NPI assigned
May 2, 2007
Sex
Female
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 DS030160L PA Primary

Addresses

Primary practice location

45 Darby Rd
Suite C
Paoli, PA 19301-1475

Mailing address

45 Darby Rd
Suite C
Paoli, PA 19301-1475
Phone (610) 644-6858

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
DS030160LPAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mauro Family Dentistry General Practice PastSince Jan 5, 2020 Accepting new patients

Organizations & group practices 1

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013139005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 DARBY RD",
            "address_2": "SUITE C",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011475",
            "telephone_number": "610-644-6858",
            "fax_number": "610-644-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 DARBY RD",
            "address_2": "SUITE C",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011475",
            "telephone_number": "610-644-6858",
            "fax_number": "610-644-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDERMAN-MAURO",
        "first_name": "CATHERINE",
        "middle_name": "M",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS030160L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, 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.