NPIMap

Organization Active NPI

Amdent LTD

Doing business as American Dental Solutions

  • General Practice Dentistry
  • Lititz, PA
National Provider Identifier
1154690378
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AMDENT LTD
Doing business as
American Dental Solutions
Practice address
1030 Lititz Pike
Lititz, PA 17543-9328
Phone
(717) 627-0303
NPI assigned
Dec 16, 2011
Last updated
Jan 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Authorized official

Name
Shannon Peters
Title
Operations Manager
Phone
(610) 372-6693

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

1030 Lititz Pike
Lititz, PA 17543-9328

Mailing address

1301 Penn Ave
Wyomissing, PA 19610-2140
Phone (610) 372-6313

Other names 1

  • American Dental Solutions Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191111001253 PA Part B Supplier - Clinic/Group Practice 1951733021 Receives reassigned benefits from 3 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pottstown, PA; Wyomissing, PA; Temple, PA; Sinking Spring, PA; Reading, PA; Phoenixville, PA; Lititz, PA; Lancaster, PA…

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Amdent LTD17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

Locations

545 W Main St
Ste 11
Trappe, PA 19426
Phone (484) 200-7355

Practitioners & affiliated clinicians

Practitioners 4

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": "1323993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1154690378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PENN AVE",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102140",
            "telephone_number": "610-372-6313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 LITITZ PIKE",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175439328",
            "telephone_number": "717-627-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMDENT LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-16",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "610-372-6693"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Dental Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lititz, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.