NPIMap

Organization Active NPI

Chester County Community Dental

  • Dental Clinic/Center
  • Coatesville, PA
National Provider Identifier
1164590980
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DS035533 Issued in PA
Legal business name
CHESTER COUNTY COMMUNITY DENTAL
Practice address
1131 Olive Street
Coatesville, PA 19320
Phone
(610) 383-3888
Fax
(610) 383-4688
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Michele C Parker
Title
Office Manager
Phone
(610) 383-3888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DS035533 PA Primary

Addresses

Primary practice location

1131 Olive Street
Coatesville, PA 19320

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
0019188310003MedicaidPA

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": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164590980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 OLIVE STREET",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "19320",
            "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 STREET",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "19320",
            "telephone_number": "610-383-3888",
            "fax_number": "610-383-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTER COUNTY COMMUNITY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "610-383-3888",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PA",
            "license": "DS035533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019188310003",
            "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 Aug 22, 2020; 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.