Individual provider Active NPI

Anitha Gadekarla, DDS

  • Dentist
  • Langhorne, PA
National Provider Identifier
1194998823
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS 037414 Issued in PA
Practice address
402 Middletown Bolulevard ,
Suite # 200
Langhorne, PA 19047
Phone
(215) 757-4400
Fax
(215) 757-6405
NPI assigned
Apr 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS 037414 PA Primary

Addresses

Primary practice location

402 Middletown Bolulevard ,
Suite # 200
Langhorne, PA 19047

Mailing address

402 Middletown Bolulevard ,
Suite # 200
Langhorne, PA 19047
Phone (215) 757-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160229001015 PA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2769787852

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS 037414PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Bethlehem Bright Smiles PC Current Accepting new patients
Allied Orthodontics, P.C. Dentist Past Accepting new patients
A-1 Family Dental Care P.C. Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1194998823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 MIDDLETOWN BOLULEVARD ,",
            "address_2": "SUITE # 200",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "19047",
            "telephone_number": "215-757-4400",
            "fax_number": "215-757-6405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 MIDDLETOWN BOLULEVARD ,",
            "address_2": "SUITE # 200",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "19047",
            "telephone_number": "215-757-4400",
            "fax_number": "215-757-6405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADEKARLA",
        "first_name": "ANITHA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS 037414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

Verify at the official NPI Registry.