Adarsh Modani, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11195 Issued in CT

Practice address

364 Wilmington W Chester Pike Ste A1
Glen Mills, PA 19342-8207

Phone

(979) 848-4638

Fax

(610) 558-5848

NPI assigned

Jun 24, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Luminous Dentistry PC

  • General Practice Dentistry
  • Glenolden, PA
  • NPI 1790358695
  NPD Authorized official
• Opal Family Dental PC

  • General Practice Dentistry
  • Glen Mills, PA
  • NPI 1841753902
  NPD Authorized official

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591488000000",
    "number": "1245645696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 WILMINGTON W CHESTER PIKE STE A1",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193428207",
            "telephone_number": "979-848-4638",
            "fax_number": "610-558-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 WILMINGTON W CHESTER PIKE STE A1",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193428207",
            "telephone_number": "979-848-4638",
            "fax_number": "610-558-5848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODANI",
        "first_name": "ADARSH",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-24",
        "last_updated": "2020-06-07",
        "certification_date": "2020-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS042029",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "11195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arnee Miles, PA-C
• Deborah Ann Miller, PHD
• Edward Mills, DPT
• Zachary T Mitchell, DPT
• Merrill J Mittathany, PHARMD
• Tejal Mody, M.D.
• Vincent D Mongiovi, D.M.D.
• Ann E Moore, CRNP
• Jane Ruth Moore, OTRL CHT
• Joel G Moranz, MD

• General Practice Dentistry in Glen Mills, PA
• Providers in Glen Mills, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.