Individual provider Active NPI

Adam Dai, DMD

  • Dentist
  • Havertown, PA
National Provider Identifier
1205498706
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS042310 Issued in PA
Practice address
710 Darby Rd
Havertown, PA 19083-4606
Phone
(610) 789-2904
NPI assigned
Jul 3, 2019
Last updated
Sep 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS042310 PA Primary

Addresses

Primary practice location

710 Darby Rd
Havertown, PA 19083-4606

Mailing address

224 Church St Apt 206
Philadelphia, PA 19106-4564
Phone (610) 212-2177

Other practice location 1

101 Long Ln
Upper Darby, PA 19082-3112
Phone (610) 352-2263

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

LicenseStateTypeSpecialty
DS042310PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Adam Dai DMD PC CurrentSince Sep 29, 2019 Accepting new patients
Lee G Taylor DDS PC Dentist PastSince Sep 29, 2019 Accepting new patients
Star Dental Past Accepting new patients
Star Dental, Inc Past Accepting new patients

Locations

710 Darby Rd
Havertown, PA 19083
Phone (610) 789-2904

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1205498706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 CHURCH ST APT 206",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191064564",
            "telephone_number": "610-212-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 DARBY RD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834606",
            "telephone_number": "610-789-2904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Long Ln",
            "address_purpose": "LOCATION",
            "city": "Upper Darby",
            "state": "PA",
            "postal_code": "190823112",
            "country_code": "US",
            "telephone_number": "610-352-2263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAI",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-03",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS042310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.