Organization Active NPI

Chester County Community Dental Center

  • Dental Clinic/Center
  • Coatesville, PA
National Provider Identifier
1124216650
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CHESTER COUNTY COMMUNITY DENTAL CENTER
Practice address
1131 Olive St
Coatesville, PA 19320-3518
Phone
(610) 383-3888
Fax
(610) 383-4688
NPI assigned
Oct 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
Dr. Donald Price, DTH
Title
Executive Director
Phone
(610) 383-3888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1131 Olive St
Coatesville, PA 19320-3518

Mailing address

1131 Olive St
Coatesville, PA 19320-3518
Phone (610) 383-3888

Other identifiers 1

IdentifierTypeStateIssuer
1019381850001MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Chester County Community Dental Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1124216650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 OLIVE ST",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193203518",
            "telephone_number": "610-383-3888",
            "fax_number": "610-383-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 OLIVE ST",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193203518",
            "telephone_number": "610-383-3888",
            "fax_number": "610-383-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTER COUNTY COMMUNITY DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "610-383-3888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DTH"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019381850001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coatesville, PA

Sources for this page

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