Individual provider Active NPI

Dilip N Dudhat, DMD

  • General Practice Dentistry
  • Colmar, PA
National Provider Identifier
1124033774
Registry record updated Aug 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
029728 Issued in PA
Practice address
2406 N Broad St
Colmar, PA 18915-9701
Phone
(215) 997-2300
Fax
(215) 997-0227
NPI assigned
Jul 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2010

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 029728 PA Primary

Addresses

Primary practice location

2406 N Broad St
Colmar, PA 18915-9701

Mailing address

2406 N Broad St
Colmar, PA 18915-9701
Phone (215) 997-2300

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
029728PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced & Comfort Dentistry General Practice Current Accepting new patients
Dilip N Dudhat, DMD,PC General Practice Past Accepting new patients
Advanced Dentistry of Main Line PC PastSince Jun 21, 2020 Accepting new patients

Organizations & group practices 3

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": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282780800000",
    "number": "1124033774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 N BROAD ST",
            "city": "COLMAR",
            "state": "PA",
            "postal_code": "189159701",
            "telephone_number": "215-997-2300",
            "fax_number": "215-997-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 N BROAD ST",
            "city": "COLMAR",
            "state": "PA",
            "postal_code": "189159701",
            "telephone_number": "215-997-2300",
            "fax_number": "215-997-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDHAT",
        "first_name": "DILIP",
        "middle_name": "N",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2010-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "029728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colmar, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; 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.