Organization Active NPI

Colmar Dental Associates, LLC

  • Dentist
  • Colmar, PA
National Provider Identifier
1124260039
Registry record updated Mar 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS017468L Issued in PA
Legal business name
COLMAR DENTAL ASSOCIATES, LLC
Practice address
2200 N Broad St
Colmar, PA 18915-9780
Phone
(215) 362-2333
NPI assigned
Mar 25, 2009
Last updated
Mar 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2009

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

Authorized official

Name
Dr. Thomas M Zaccaria
Title
MBR
Phone
(215) 362-2333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS017468L PA Primary

Addresses

Primary practice location

2200 N Broad St
Colmar, PA 18915-9780

Mailing address

2200 N Broad St
Colmar, PA 18915-9780
Phone (215) 362-2333

National Provider Directory

National Provider Directory

Locations

2200 N Broad St
Colmar, PA 18915
Phone (215) 362-2333

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": "1237939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237939200000",
    "number": "1124260039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 N BROAD ST",
            "city": "COLMAR",
            "state": "PA",
            "postal_code": "189159780",
            "telephone_number": "215-362-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 N BROAD ST",
            "city": "COLMAR",
            "state": "PA",
            "postal_code": "189159780",
            "telephone_number": "215-362-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLMAR DENTAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-25",
        "last_updated": "2009-03-25",
        "status": "A",
        "authorized_official_last_name": "ZACCARIA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "215-362-2333",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS017468L",
            "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 Mar 25, 2009; 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.