Organization Active NPI

Amdent LTD.

  • General Practice Dentistry
  • North Wales, PA
National Provider Identifier
1023774486
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AMDENT LTD.
Practice address
1200 Welsh Rd Ste D
North Wales, PA 19454-3773
Phone
(484) 370-4775
Fax
(267) 388-1951
NPI assigned
Nov 10, 2021
Organization subpart
Yes
Parent organization
AMDENT LTD.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Authorized official

Name
Karen L Fitzcharles
Title
Credentialing
Phone
(610) 372-6313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1200 Welsh Rd Ste D
North Wales, PA 19454-3773

Mailing address

1301 Penn Ave
Wyomissing, PA 19610-2140
Phone (610) 372-3800

National Provider Directory

National Provider Directory
Tax ID family
Commonwealth Dental Specialist17 organizations share this tax ID, including this one
Part of
Commonwealth Dental Specialist

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

1200 Welsh Rd
Ste D
North Wales, PA 19454
Phone (484) 370-4775

NPI Registry JSON

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1023774486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PENN AVE",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102140",
            "telephone_number": "610-372-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WELSH RD STE D",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194543773",
            "telephone_number": "484-370-4775",
            "fax_number": "267-388-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMDENT LTD.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMDENT LTD.",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "FITZCHARLES",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "610-372-6313"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Wales, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.