NPIMap

Organization Active NPI

Lower Merion Pediatric Dentistry

  • Pediatric Dentistry
  • Ardmore, PA
National Provider Identifier
1053662957
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DS-029284L Issued in PA
Legal business name
LOWER MERION PEDIATRIC DENTISTRY
Practice address
42 W Lancaster Ave
Suite 100
Ardmore, PA 19003-1331
Phone
(610) 642-3417
Fax
(610) 642-2447
NPI assigned
Oct 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Authorized official

Name
Dr. Eric Scott Hans, D.M.D.
Title
Owner
Phone
(610) 642-3417

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X DS-029284L PA Primary

Addresses

Primary practice location

42 W Lancaster Ave
Suite 100
Ardmore, PA 19003-1331

Mailing address

42 W Lancaster Ave
Suite 100
Ardmore, PA 19003-1331
Phone (610) 642-3417

Other names 1

  • Lower Merion Pediatric and Adolescent Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1349136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1053662957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 W LANCASTER AVE",
            "address_2": "SUITE 100",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190031331",
            "telephone_number": "610-642-3417",
            "fax_number": "610-642-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 W LANCASTER AVE",
            "address_2": "SUITE 100",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190031331",
            "telephone_number": "610-642-3417",
            "fax_number": "610-642-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWER MERION PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-02",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "HANS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-642-3417",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS-029284L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lower Merion Pediatric and Adolescent Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ardmore, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; 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.