Active NPI
Neil I Pakett, D.M.D.
- General Practice Dentistry
- Lansdowne, PA
National Provider Identifier
1184934663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS019317L
- Practice address
- 43 S. Lansdowne Ave.
Lansdowne, PA 19050 - Phone
- (215) 336-8873
- Fax
- (610) 623-0023
- NPI assigned
- Oct 18, 2010
- Last updated
- Oct 18, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS019317L | PA | Primary |
Addresses
Primary practice location
43 S. Lansdowne Ave.
Lansdowne, PA 19050
Mailing address
659 Foxcroft Road
Elkins Park, PA 19027-1506
Phone (610) 623-7610
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
| License | State | Type | Specialty |
|---|---|---|---|
| DS019317L | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ameri Dental Group P.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Lansdowne, PA
- NPI 1659636116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287360000000",
"number": "1184934663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "659 FOXCROFT ROAD",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "190271506",
"telephone_number": "610-623-7610",
"fax_number": "610-284-9995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 S. LANSDOWNE AVE.",
"city": "LANSDOWNE",
"state": "PA",
"postal_code": "19050",
"telephone_number": "215-336-8873",
"fax_number": "610-623-0023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAKETT",
"first_name": "NEIL",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-18",
"last_updated": "2010-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS019317L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lansdowne, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.