Active NPI
Daniel S. Lader, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Bethlehem, PA
National Provider Identifier
1255374237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DS035992
- Practice address
- 1521 8TH Ave
Suite 100
Bethlehem, PA 18018-1865 - Phone
- (610) 865-8077
- Fax
- (610) 865-8112
- NPI assigned
- Jun 14, 2006
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DS035992 | PA | Primary |
Addresses
Primary practice location
1521 8TH Ave
Suite 100
Bethlehem, PA 18018-1865
Mailing address
1521 8TH Ave
Suite 100
Bethlehem, PA 18018-1865
Phone (610) 865-8077
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101493340 | Medicaid | PA |
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Harleysville, PA
- NPI 1184518581
-
- Family Medicine Physician
- Orwigsburg, PA
- NPI 1710845144
-
- Trauma Surgery Physician
- Bethlehem, PA
- NPI 1083789150
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Adult Mental Health Clinic/Center
- Lehighton, PA
- NPI 1962094920
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Oral Surgery
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Lukes Physician Group Inc
Practice addresses (Care Compare)
1581 N 9TH St
Suite 101
Stroudsburg, PA 18360-7531
Phone (484) 526-6200
Hospital & facility affiliations
- St Lukes Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.13 of 100
- Quality
- 82.27
- Promoting interoperability
- 100
- Improvement activities
- 40
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040604000410 | PA | Practitioner - Oral Surgery | 9032191804 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS035992 | PA | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Physician Group Inc | Current | Accepting new patients | |
| St. Luke'S Physician Group, Inc. | Current | Accepting new patients | |
| St Luke'S Physician Group Inc | Current | Accepting new patients | |
| St. Luke'S Physician Group, Inc. | Past | Accepting new patients |
Locations
1530 8th Ave
Ste 200
Bethlehem, PA 18018
Phone (610) 861-8007
1521 8th Ave
Ste 101
Bethlehem, PA 18018
1530 8th Ave
Fl 2
Bethlehem, PA 18018
Phone (484) 526-7810
801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200
1581 N 9th St
Ste 101
Stroudsburg, PA 18360
Phone (272) 721-2062
1419 N 9th St
Stroudsburg, PA 18360
Phone (570) 424-7644
Interoperability endpoints
- daniel.lader@slpg.direct-sluhn.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224720000000",
"number": "1255374237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1521 8TH AVE",
"address_2": "SUITE 100",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180181865",
"telephone_number": "610-865-8077",
"fax_number": "610-865-8112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1521 8TH AVE",
"address_2": "SUITE 100",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180181865",
"telephone_number": "610-865-8077",
"fax_number": "610-865-8112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LADER",
"first_name": "DANIEL",
"middle_name": "S.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2008-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "PA",
"license": "DS035992",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101493340",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.