Organization Active NPI

Kotula Dental, Inc.

Doing business as Kotula Dental

  • Dental Clinic/Center
  • Reading, PA
National Provider Identifier
1073812012
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DS029484L Issued in PA
Legal business name
KOTULA DENTAL, INC.
Doing business as
Kotula Dental
Practice address
3011 Kutztown Rd
Reading, PA 19605-3406
Phone
(610) 929-0070
Fax
(610) 939-1797
NPI assigned
Mar 16, 2011
Last updated
Mar 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2011

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

Authorized official

Name
Dr. Edmund Ned Kotula, D.M.D.NPI 1801986021
Title
President
Phone
(610) 929-0070

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
Dental Clinic/Center 261QD0000X DS029484L PA Primary

Addresses

Primary practice location

3011 Kutztown Rd
Reading, PA 19605-3406

Mailing address

3011 Kutztown Rd
Reading, PA 19605-3406
Phone (610) 929-0070

Other names 1

  • Kotula Dental Doing business as

National Provider Directory

National Provider Directory

Locations

3011 Kutztown Rd
Reading, PA 19605
Phone (610) 929-0070

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300233600000",
    "number": "1073812012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 KUTZTOWN RD",
            "city": "READING",
            "state": "PA",
            "postal_code": "196053406",
            "telephone_number": "610-929-0070",
            "fax_number": "610-939-1797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 KUTZTOWN RD",
            "city": "READING",
            "state": "PA",
            "postal_code": "196053406",
            "telephone_number": "610-929-0070",
            "fax_number": "610-939-1797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOTULA DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-16",
        "last_updated": "2011-03-16",
        "status": "A",
        "authorized_official_last_name": "KOTULA",
        "authorized_official_first_name": "EDMUND",
        "authorized_official_middle_name": "NED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-929-0070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PA",
            "license": "DS029484L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kotula Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; 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.