D. P. Dodds Associates, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

033802 Issued in PA

Legal business name

D. P. DODDS ASSOCIATES, INC.

Practice address

105 Morton Ave
Ridley Park, PA 19078-2409

Phone

(610) 521-1331

Fax

(610) 521-3863

NPI assigned

Oct 12, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Donald A. Dodds

Title

Owner

Phone

(610) 521-1331

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Conner-Williams Nursing Home Doing business as

Locations

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1073501128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MORTON AVE",
            "city": "RIDLEY PARK",
            "state": "PA",
            "postal_code": "190782409",
            "telephone_number": "610-521-1331",
            "fax_number": "610-521-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MORTON AVE",
            "city": "RIDLEY PARK",
            "state": "PA",
            "postal_code": "190782409",
            "telephone_number": "610-521-1331",
            "fax_number": "610-521-3863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D. P. DODDS ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "DODDS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-521-1331",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "033802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009120920001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conner-Williams Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Ridley Park, PA
• Providers in Ridley Park, PA by specialty
• Skilled Nursing Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.