Individual provider Active NPI

Lawrence G. Adam, D.M.D.

  • General Practice Dentistry
  • Sarver, PA
National Provider Identifier
1205914843
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS019975L Issued in PA
Practice address
102 North Pike Rd
Sarver, PA 16055
Phone
(724) 353-1521
Fax
(724) 295-3749
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS019975L PA Primary

Addresses

Primary practice location

102 North Pike Rd
Sarver, PA 16055

Mailing address

PO Box J
102 North Pike Rd
Sarver, PA 16055
Phone (724) 353-1521

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
I20160810000793 PA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 7012201346

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS019975LPAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Adam Associates Professional Corporation General Practice 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205914843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX J",
            "address_2": "102 NORTH PIKE RD",
            "city": "SARVER",
            "state": "PA",
            "postal_code": "16055",
            "telephone_number": "724-353-1521",
            "fax_number": "724-295-3749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 NORTH PIKE RD",
            "city": "SARVER",
            "state": "PA",
            "postal_code": "16055",
            "telephone_number": "724-353-1521",
            "fax_number": "724-295-3749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAM",
        "first_name": "LAWRENCE",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS019975L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarver, PA

Sources for this page

Verify at the official NPI Registry.