Individual provider Active NPI

Dana Marie Digerolamo, D.M.D.

  • Pediatric Dentistry
  • King of Prussia, PA
National Provider Identifier
1295980894
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DS037700 Issued in PA
Practice address
357 S Gulph Rd
King of Prussia, PA 19406
Phone
(917) 599-6406
Fax
(610) 487-0037
NPI assigned
Nov 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X LL610 MD
Pediatric Dentistry 1223P0221X 22DI02533300 NJ
Pediatric Dentistry 1223P0221X DS037700 PA Primary

Addresses

Primary practice location

357 S Gulph Rd
King of Prussia, PA 19406

Mailing address

357 S Gulph Rd
King of Prussia, PA 19406-3136
Phone (917) 599-6406

Other practice location 1

240 Geiger Rd
Philadelphia, PA 19115-1008
Phone (215) 677-0380

Other practice location 2

357 S Gulph Rd
King Of Prussia, PA 19406
Phone (917) 599-6406

Other identifiers 2

IdentifierTypeStateIssuer
102851990MedicaidPA
119591300MedicaidMD

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
LL610MDMDDentist
22DI02533300NJMDPediatric Dentist
DS037700PAMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1295980894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 S GULPH RD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063136",
            "telephone_number": "917-599-6406",
            "fax_number": "610-487-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 S GULPH RD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "19406",
            "telephone_number": "917-599-6406",
            "fax_number": "610-487-0037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 Geiger Rd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191151008",
            "country_code": "US",
            "telephone_number": "215-677-0380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "357 S Gulph Rd",
            "address_purpose": "LOCATION",
            "city": "King Of Prussia",
            "state": "PA",
            "postal_code": "19406",
            "country_code": "US",
            "telephone_number": "917-599-6406",
            "fax_number": "610-487-0037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIGEROLAMO",
        "first_name": "DANA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-24",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "LL610",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "22DI02533300",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS037700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102851990",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119591300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.